Skip navigation

Sub-navProviders

Provider News
print

HEDIS Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents (WCC)

The HEDIS WCC measure was developed to address the childhood obesity epidemic for our Health Partners (Medicaid) and KidzPartners (CHIP) members. As the patient’s PCP or OB-GYN, you play a key role in guiding children and adolescents toward healthy behaviors. Take advantage of every office visit, including well-child visits for patients ages 2 to 17, by following the proper coding below:

Description of Service ICD-10 CPT HCPCS
Well-child visits (ages 2–17) Z00.110–Z00.129, Z76.1, or Z76.21 99381–99385, 99391–99395  
BMI percentile Z68.51–Z68.54 (code dependent on actual BMI percentile)    
Counseling for nutrition Z71.3 99401, 99402  
Counseling for physical activity Z02.5, Z71.82   G0447, S9451

Best practices

Correct medical record documentation and coding ensure that your efforts are acknowledged, you meet the WCC measure and you improve your young patients’ chance at a healthier life. It’s important to educate children and their family of healthy lifestyle habits, including healthy eating and physical activity to lower the risk of obesity and developing related diseases, such as heart disease and diabetes. If you have any questions, contact your NAM (Network Account Manager) or the Provider Services Helpline at 1-888-991-9023 (Monday to Friday, 9:00 a.m. to 5:30 p.m.).