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Florida BlueCommercial · Documentation · Provider Bulletin · FL · Family Medicine, Internal Medicine, Pediatrics +5 moreMedium impact

Accurate Documentation Optimizes Health Outcomes and More

Effective date
Apr 1, 2026
Identified
Jun 16, 2026

Summary

Florida Blue emphasizes the importance of accurate documentation using specific CPT II and ICD-10 codes for HEDIS quality measures including statin therapy, diabetic eye exams, cancer screenings, and flu vaccinations. This policy focuses on proper coding and documentation practices to improve patient outcomes and HEDIS scores.

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What to do

Action · 3 steps
01By April 2026: Providers must ensure accurate documentation in medical records using specific CPT II and ICD-10 codes for HEDIS measures.
02Update documentation practices to include specific codes for statin therapy, diabetic eye exams (CPT 92229, CPT II codes 2022F-2033F), cancer screenings (mammogram codes 77061-77063, cervical cytology 88141-88143), and flu vaccinations (CPT codes 90655, 90657, 90660-90662, 90672-90673, 90685-90689).
03Review and update patient records regularly to reflect changes in care and ensure compliance with HEDIS quality requirements.

Codes mentioned

92229770617706277063881418814288143Q51.5906559065790660906619066290672906739068590686906879068890689

Original notice

Accurate Documentation Optimizes Health Outcomes and More
files.guidewell.com · Always check the source before changing claims.
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Related policy hubs

Florida Blue policiesFL policy changesFamily MedicineInternal MedicinePediatricsEndocrinologyOphthalmologyOptometryOncologyOB-GYNCode 92229Code 77061Code 77062Code 77063Code 88141Code 88142Code 88143Code Q51.5Code 90655Code 90657Code 90660Code 90661Code 90662Code 90672Code 90673Code 90685Code 90686Code 90687Code 90688Code 90689

Summaries are AI-assisted. Always confirm against the original payer notice.

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