Medicare AdvantageDocumentationMedium impact
Closing HEDIS Care Gaps with Patient-Reported Diabetic Eye Exam Results
Florida Blue·FL · Family Medicine, Internal Medicine, Endocrinology +2 more·Quality Measures
Effective date
Oct 1, 2025
We identified it
Jun 16, 2026
Summary
Florida Blue now allows providers to close HEDIS diabetic eye exam quality care gaps using patient-reported results. Providers can document patient-verified eye exams using specific CPT Category II codes (2022F and 2023F) when official records aren't available.
Action Required
Immediately: Providers should begin asking diabetic patients during routine visits if they've had dilated retinal eye exams in the past year. Document the exam date and provider in the medical record. Use CPT II code 2022F for exams with retinopathy evidence or 2023F for exams without retinopathy evidence to close HEDIS quality care gaps.