Preventive Care and Screening: Screening for Depression and Follow-Up Plan

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Austin Butler
    • 9179242184
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      Thank you for requesting clarification on the Preventive Care and Screening: Screening for Depression and Follow-Up Plan eCQM.
      SNOMED-CT Code185349003: This code is listed within the Encounter to Screen for Depression value set, and therefore should be included in the reporting of the measure performance.
      SNOMED-CT Code 439708006: This code is NOT listed within the Encounter to Screen for Depression value set, and therefore should be EXCLUDED from the reporting of the measure performance. This code is labeled as a “Home Visit” based on SNOMED-CT.
      LOINC Code 73832-8: Please clarify your specific questions on this LOINC code, as this is referenced within the measure logic. The measure does not have any requirements around where the screening is completed. It merely states that “The screening should occur during a qualifying encounter or up to 14 calendar days prior to the date of the qualifying encounter.”
       
      To review, the qualifying encounter must be documented using a code included in "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), or "Telephone Visits" (2.16.840.1.113883.3.464.1003.101.12.1080) value set. The eCQMs rely on the associated codes listed in the values on Value Set Authority Center (VSAC) to drive the measurement results. If one of the codes in the qualifying encounter value sets is documented, that meets the definition of a qualifying (eligible) encounter.
       
      These value sets are located 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 set 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 requesting clarification on the Preventive Care and Screening: Screening for Depression and Follow-Up Plan eCQM. SNOMED-CT Code185349003: This code is listed within the Encounter to Screen for Depression value set, and therefore should be included in the reporting of the measure performance. SNOMED-CT Code 439708006: This code is NOT listed within the Encounter to Screen for Depression value set, and therefore should be EXCLUDED from the reporting of the measure performance. This code is labeled as a “Home Visit” based on SNOMED-CT. LOINC Code 73832-8: Please clarify your specific questions on this LOINC code, as this is referenced within the measure logic. The measure does not have any requirements around where the screening is completed. It merely states that “The screening should occur during a qualifying encounter or up to 14 calendar days prior to the date of the qualifying encounter.”   To review, the qualifying encounter must be documented using a code included in "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), or "Telephone Visits" (2.16.840.1.113883.3.464.1003.101.12.1080) value set. The eCQMs rely on the associated codes listed in the values on Value Set Authority Center (VSAC) to drive the measurement results. If one of the codes in the qualifying encounter value sets is documented, that meets the definition of a qualifying (eligible) encounter.   These value sets are located 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 set 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.
    • CMS0002v14

      We would like to bring to your attention that we have been encountering issues with the Practice Fusion workflow related to encounter type classifications. Despite multiple attempts to resolve the matter with the Practice Fusion support team, the issue remains unresolved.

      Earlier today, we spoke with a representative named Samantha, who recommended that we confirm directly with CMS whether specific encounters should be classified as home visits or office visits, particularly for reporting under MIPS Measure 2025 eCQM: Preventive Care and Screening: Screening for Depression and Follow-Up Plan.

      To ensure accurate reporting and compliance for the 2025 performance year, we kindly request clarification on the appropriate classification for the following:

      • Office Visit - SNOMED-CT Code: 185349003
      • Office Visit - SNOMED-CT Code: 439708006
      • Adult Depression Screening Assessment - LOINC Code: 73832-8

            Assignee:
            AIR EC eCQM Team
            Reporter:
            Austin Butler (Inactive)
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