​Hello, Thank you for your inquiry about CMS2v10: Preventive Care and Screening: Screening for Depression and Follow-Up Plan.   According to the CMS Telehealth guidance document located on the eCQI Resource Center at https://ecqi.healthit.gov/sites/default/files/2021-eCQM-Telehealth-Guidance-Document-With-QRDA-Update-508.pdf, CMS2v10 is a telehealth-eligible eCQM. The "Encounter to Screen for Depression" value set (2.16.840.1.113883.3.600.1916) contains the encounter codes that qualify for the denominator. The measure logic only uses the base code. If a patient encounter is billed using a qualifying encounter code with a telehealth modifier, the modifier would be ignored by the logic, and the encounter would qualify for the denominator. For example, because the encounter code 99213 is in the "Encounter to Screen for Depression" value set, the patient encounter will qualify for the denominator, even if a telehealth modifier is attached to the encounter code.   While we are not able to provide specific guidance around workflows, a telehealth depression screening performed by a care coordinator up to 14 days prior to the encounter would be acceptable for the depression screening requirement.   The measure does not define nor limit the type of encounter during which the depression screening must be performed. The measure requires the screening be performed on the day of or within 14 days prior to a qualifying encounter. If a depression screening is performed during a hospital stay and the patient has a qualifying outpatient encounter after the screening such that the screening was performed within 14 days prior to the qualifying outpatient encounter the screening would meet numerator requirements for a screening being performed.

Hi, For the Depression Screening and Follow Up, are Telehealth visits considered an eligible encounter for both the screening and for the follow up when billed with a traditional E&M code that is currently listed as an eligible encounter (ie: 99213)? For example, we have care coordinators who do outreach to our patients a day or two before the Telehealth visit. They currently do the depression screening during this pre-visit outreach, and the provider acknowledges the screening during the Telehealth visit and performs any needed follow up. Will this workflow satisfy Numerator criteria for eCQMs? Also, if a depression screening is done in a hospital setting, does that count towards numerator compliance?