HEDIS – Adult Body Mass Index Assessment

Maintaining a healthy weight is key to reducing the risk of high blood pressure, high blood cholesterol and type 2 diabetes. Reducing the risk of these factors decreases the risk of heart disease and stroke. Measuring and documenting your patients' Body Mass Index (BMI) according to Healthcare Effectiveness Data and Information Set (HEDIS®) standards can help you care for their long-term health.

A healthy weight as determined by a person's BMI is one of 90 Healthcare HEDIS measurements. The National Committee for Quality Assurance (NCQA) collects HEDIS data. The goal is to provide information on the performance of our health care system. Blue Cross and Blue Shield of New Mexico collects HEDIS data from our providers to measure and improve the quality of care our members receive.

You can help us collect HEDIS data and better care for our members by measuring and documenting our members' BMI at least once every two years. BMI can help you identify patients who have an increased-risk of morbidity. To make this process easier, we have a HEDIS Adult BMI Assessment Tip Sheet available with ICD-10 Z codes and charting tips.

We collect HEDIS data for the NCQA each year. Please measure and report BMI using the appropriate ICD-10 Z codes during our members' office visit. This may help you avoid a request for medical records later.

The HEDIS Adult BMI Assessment measures the BMI of 18-to-74-year-olds. The member had to have seen their provider at an outpatient visit and had a documented BMI in the past two years.

NOTE: The Z code must be used as a secondary code and is non-reimbursable.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).