Thank you for your inquiry. Please see the CMS69v8 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan measure logic for follow-up plans for BMI outside parameters (below) for additional clarification and an answer to your question. Documenting that the out of range BMI is related to depression elsewhere in the chart but not including it as a referral reason will not meet the measure. In order to meet the requirements of this measure, the out of range BMI must be specified in the referral reason regardless of any associated or underlying diagnoses. In both the High BMI and Low BMI logic statements, a specific reason related to BMI is included in the referral. Therefore, in order for the behavioral health provider referral to count towards the numerator criteria for this measure, the provider documentation must include one of the two reasons from the measure logic and an appropriate code. As shown below, the definition for "High BMI Follow Up Encounters" includes the logic: Referral where Referral.reason in "Overweight or Obese"   High BMI Follow Up Encounters "Qualifying Encounters During the Measurement Period" QualifyingEncounter        with ( ["Intervention, Order": "Above Normal Follow-up"]               union ["Intervention, Performed": "Above Normal Follow-up"]               union ( ["Intervention, Order": "Referrals where weight assessment may occur"] Referral                                                     where Referral.reason in "Overweight or Obese"                       )               union ["Medication, Order": "Above Normal Medications"] ) HighBMIInterventions                       such that Coalesce(start of HighBMIInterventions.relevantPeriod, HighBMIInterventions.authorDatetime)12 months or less on or before                       end of QualifyingEncounter.relevantPeriod   As shown below, the definition for "Low BMI Follow Up Encounters" includes the logic: Referral where Referral.reason in "Underweight"   Low BMI Follow Up Encounters "Qualifying Encounters During the Measurement Period" QualifyingEncounter        with ( ["Intervention, Order": "Below Normal Follow up"]               union ["Intervention, Performed": "Below Normal Follow up"]               union ( ["Intervention, Order": "Referrals where weight assessment may occur"] Referral                                                     where Referral.reason in "Underweight"                       )               union ["Medication, Order": "Below Normal Medications"] ) LowBMIInterventions                       such that Coalesce(start of LowBMIInterventions.relevantPeriod, LowBMIInterventions.authorDatetime)12 months or less on or before                      end of QualifyingEncounter.relevantPeriod

Would the scenario outlined below result in the patient qualifying for the numerator for the Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan Measure? Why or Why Not? A patient has a qualifying encounter with a medical provider with concerns of depression. The patient's vitals are taken which show an out of normal range BMI, and the BMI is documented in the vitals section of the patient's chart. The Patient is then referred to a behavioral health provider with an associated diagnosis of Persistent depressive disorder with anxious distress. Other than the patient's BMI being included in the vitals section their out of range BMI is not addressed further in the note. Does the answer change if the provider documents in the patient's chart that the depression diagnosis and the high BMI are related issues? Why or Why not?