CommercialDocumentationMedium impact
Quality tips for controlling high blood pressure (CBP)
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, General Practice +1 more·Physician
Effective date
Oct 1, 2023
We identified it
Jun 19, 2026
Summary
BCBS Rhode Island has updated quality measurement guidelines for controlling high blood pressure (CBP) in adults 18-85 with hypertension. The policy emphasizes proper blood pressure measurement techniques and requires billing teams to submit claims with CPT Category II codes to receive credit for completed blood pressure readings.
Action Required
Immediately: Billing team must ensure all blood pressure measurement claims include CPT Category II codes to receive proper credit for BP readings. Update billing workflows to capture and submit Category II codes with hypertension-related encounters. Contact BCBS RI Quality Team at QualityHEDIS@bcbsri.org or (401) 459-1005 for assistance with the PCP Quality Incentive Program requirements.