Thank you for your inquiry on CMS2v12: Preventive Care and Screening: Screening for Depression and Follow-Up Plan.
Yes, you can use SNOMED CT 91310009 (Patient follow-up to return when and if necessary (procedure). This code is found in the Follow Up for Adolescent Depression (2.16.840.1.113883.3.526.3.1569) and Follow Up for Adult Depression (2.16.840.1.113883.3.526.3.1568) value sets. However, self- referral to the same primary care physician (PCP) that completed the positive depression screen without documenting a follow-up plan to address the positive screen does not meet numerator criteria. Documented follow-up plans for a positive depression screening must include one or more of the following:
* Referral to a provider for additional evaluation and assessment to formulate a follow-up plan for a positive depression screen - "Intervention, Order": "Referral for Adult Depression" OR "Intervention, Order": "Referral for Adolescent Depression"
* Pharmacological interventions - "Medication, Order": "Adult Depression Medications" OR "Medication, Order": "Adolescent Depression Medications"
* Other interventions or follow-up for the diagnosis or treatment of depression, such as, but not limited to behavioral health evaluation, psychotherapy, family or group therapy, support group, depression management program - "Intervention, Performed": "Follow Up for Adult Depression" OR "Intervention, Performed": "Follow Up for Adolescent Depression"
You will need to document one of follow-up plan interventions above in the medical record when using use SNOMED CT 91310009 (Patient follow-up to return when and if necessary (procedure), to meet the numerator. Please feel free to reference the measure specifications, that can be found at the eCQI Resource Center
https://ecqi.healthit.gov/