FAQ Directory: HEDIS

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12.15.2025 Social Need Screening and Intervention (SNS-E) Coding Update In the Calendar Year 2026 Medicare Physician Fee Schedule Final Rule, the G0136 reimbursement code was changed from provider assessment of social determinants of health (SDOH) to assessment of physical activity and nutrition. Will this affect the SNS-E measure specification for MY 2026?

Yes. The HEDIS MY 2026 Technical Update will remove HCPCS G0136 from the measure’s screening numerators and remove ICD-10 Z codes from the measure’s intervention denominators. The measure will continue to rely on LOINC codes for documentation of standard screenings and positive screening results. Additionally, NCQA will update some intervention procedure value sets to align with current code lists.

HEDIS MY 2026