2024 Preventive Health Guidelines

The 2024 Preventive Health Guidelines are now available on the Provider Resource Center. Every year, Highmark and participating network physicians review and update the Preventive Health Guidelines, which are made available to the practitioner community as a reference tool to encourage and assist you in planning your patients’ care.

What’s Changing

For 2024, Highmark’s Preventive Health Guidelines feature these changes:

Anxiety Screening for Pregnant Women

The U.S. Preventive Services Task Force (USPSTF) recommends screening for anxiety disorders in adults, including pregnant and postpartum persons.

Coding: Use procedure code 96127 with preventive office visit diagnosis code or Z1330 or Z1339 once per calendar year.

Screening MRI or Ultrasound after a Mammogram

Explanation: Already a benefit in New York, Highmark extended this benefit to the other three states in our footprint. Note: Must be ordered by a physician.

Coding: Use diagnosis code Z1239 without diagnosis of cancer and procedure code 76642, 76641, 77046, 77047, 77048, 77049.

Download the Guidelines

To help make the information more accessible and convenient for you, the complete set of 2024 Preventive Health Guidelines is posted online. Just visit the Provider Resource Center, go to EDUCATION/MANUALS, and then select Preventive Health Guidelines. The page includes the following downloadable guidelines: