​​Thank you for your inquiry regarding CMS2v11: Preventive Care and Screening: Screening for Depression and Follow-Up Plan. Per the measure specification, patients meet denominator exception criteria if the provider documents that the patient declined to participate as per the "Patient Declined" (2.16.840.1.113883.3.526.3.1582) value set or the "Medical Reason" (2.16.840.1.113883.3.526.3.1007) value set. You can review codes included in each value set on the Value Set Authority Center (VSAC) website at https://vsac.nlm.nih.gov . Specifically, the language included in the denominator exception, "Medical Reason(s) Documentation of medical reason for not screening patient for depression (e.g., cognitive, functional, or motivational limitations that may impact accuracy of results; patient is in an urgent or emergent situation where time is of the essence and to delay treatment would jeopardize the patient's health status)" listed in the CMS2v11 measure specification provides only examples. The denominator exception can be applied when the eligible clinician determines the screening is contraindicated or not indicated per the "Medical Reason" (2.16.840.1.113883.3.526.3.1007) value set.

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.