​​Thank you for your inquiry regarding CMS2v11: Preventive Care and Screening: Screening for Depression and Follow-Up Plan. Per the measure specification, only patients that have been diagnosed with depression or bipolar disorder, as defined within the codes of the "Bipolar Diagnosis" (2.16.840.1.113883.3.600.450) and "Depression Diagnosis" (2.16.840.1.113883.3.600.145) value sets, are captured as denominator exclusions. Because the intent of the measure is to screen for depression in patients who have never had a diagnosis of depression or bipolar disorder prior to the eligible encounter, the measure logic specifically excludes patients who have a diagnosis of bipolar disorder or depression with an onset date that occurs before the qualifying encounter and remains an active diagnosis through or after the end of the qualifying encounter. See the "History of Bipolar or Depression Diagnosis Before Qualifying Encounter" denominator exclusion logic definition below. History of Bipolar or Depression Diagnosis Before Qualifying Encounter ( ["Diagnosis": "Bipolar Diagnosis"]   union ["Diagnosis": "Depression Diagnosis"] ) DiagnosisBipolarorDepression   with "Qualifying Encounter During Measurement Period" QualifyingEncounter     such that DiagnosisBipolarorDepression.prevalencePeriod starts before QualifyingEncounter.relevantPeriod

Good morning, Our project team received the inquiry below from an external partner regarding the following measure: Preventative Care and Screening: Screening for Depression and Follow-Up (CMS2v11). We would appreciate any insight your team is able to provide on this inquiry.