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eStar update: hierarchical condition category best practice advisory changes

Sep. 26, 2023, 2:43 PM

Beginning Sept. 26, the Hierarchical Condition Category best practice advisory (BPA) will change to “required” status if the provider adds an AWV or PE billing code to a visit.

If an Adult Wellness Visit or Physical Exam code is entered as an additional E/M code, or if the Level of service changes to an AWV or PE code, the Hierarchical Condition Category BPA will switch from ‘recommended’ to ‘required’ status.

Review the Using the HCC BPA – Ambulatory Provider tipsheet.

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