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  1. eCQM Issue Tracker
  2. CQM-6436

CMS 2v12: Depression Screening and Follow-up Plan.

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      Thank you for the inquiry on CMS2v13 Preventive Care and Screening: Screening for Depression and Follow-Up Plan. A qualifying encounter must occur during the measurement period. Code 0500F is not listed in one of value sets, but 99204 is. Please use one the codes listed in the following value sets to be eligible for the initial population:
      "Encounter to Screen for Depression" (2.16.840.1.113883.3.600.1916)
      "Physical Therapy Evaluation" (2.16.840.1.113883.3.526.3.1022)
      "Telephone Visits" (2.16.840.1.113883.3.464.1003.101.12.1080)
      These value sets are found on The National Library of Medicine's Value Set Authority
      Center (VSAC), https://vsac.nlm.nih.gov/ . The VSAC provides downloadable access to all official versions of value sets content contained in the eCQM specifications. The value sets are lists of unique coded identifiers with names (called descriptors) for groupings of clinical and administrative concepts selected from standard vocabularies.
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      Thank you for the inquiry on CMS2v13 Preventive Care and Screening: Screening for Depression and Follow-Up Plan. A qualifying encounter must occur during the measurement period. Code 0500F is not listed in one of value sets, but 99204 is. Please use one the codes listed in the following value sets to be eligible for the initial population: "Encounter to Screen for Depression" (2.16.840.1.113883.3.600.1916) "Physical Therapy Evaluation" (2.16.840.1.113883.3.526.3.1022) "Telephone Visits" (2.16.840.1.113883.3.464.1003.101.12.1080) These value sets are found on The National Library of Medicine's Value Set Authority Center (VSAC), https://vsac.nlm.nih.gov/ . The VSAC provides downloadable access to all official versions of value sets content contained in the eCQM specifications. The value sets are lists of unique coded identifiers with names (called descriptors) for groupings of clinical and administrative concepts selected from standard vocabularies.
    • CMS0002v13
    • CMS0002v12
    • Depression screening performed at the Initial prenatal visit with code 0500F documented (due to global billing after delivery) is not qualifying as being performed at a "qualifying encounter".

      For OB providers performing depression screening at the initial prenatal visit, due to the coding (global billing after delivery) the screen is not falling into being performed during measurement year at "qualifying encounter". Code 0500F is being used for the initial OB encounter. Does the screening at this visit qualify as being performed in current measurement year when a subsequent "qualifying CPT encounter" occurs which pulls patient into the denominator? Or, must code 99204 (Pr Antepartum Care Initial Visit) be utilized to capture this screening for the measurement period?

            edave Mathematica EC eCQM Team
            qualitycare3.0 Kathryn Hettrick
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