question about CMS 2 - Depression screening and follow up

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Deborah Weinstein
    • 2016082393
    • Englewood Health
    • Hide
      Thank you for inquiring about the Preventive Care and Screening: Screening for Depression and Follow-Up Plan eCQM. Electronic clinical quality measures (eCQMs) rely on a standardized format for data exchange to ensure consistency and accuracy. According to the CMS Measures Management System Blueprint, CPT Category I codes are incorporated into eCQMs because they provide a dependable framework for communication among healthcare providers, patients, and other stakeholders. Although CPT Category II codes are valuable for reporting purposes, they lack the necessary structure for electronic data exchange and therefore cannot replace Category I codes in eCQMs. For further details, please visit the eCQI Resource Center at https://ecqi.healthit.gov and the CMS Blueprint at https://mmshub.cms.gov/measure-lifecycle/measure-specification/overview.
      Show
      Thank you for inquiring about the Preventive Care and Screening: Screening for Depression and Follow-Up Plan eCQM. Electronic clinical quality measures (eCQMs) rely on a standardized format for data exchange to ensure consistency and accuracy. According to the CMS Measures Management System Blueprint, CPT Category I codes are incorporated into eCQMs because they provide a dependable framework for communication among healthcare providers, patients, and other stakeholders. Although CPT Category II codes are valuable for reporting purposes, they lack the necessary structure for electronic data exchange and therefore cannot replace Category I codes in eCQMs. For further details, please visit the eCQI Resource Center at https://ecqi.healthit.gov and the CMS Blueprint at https://mmshub.cms.gov/measure-lifecycle/measure-specification/overview .
    • CMS0002v15
    • CMS0002v14
    • missed opportunities for improved quality measure for an entire population of patients

      We are working on improving our rates for CMS 2 - Depression screening and follow up. In our TIN, we have OB groups that do not bill regular CPT codes for their prenatal visits, instead, they use 0501F -0503F for all visits. During many of the visits, they are administering the PHQ 2/9 and or Edinburgh screening for the patients, but we are not getting credit for these depressions screenings because they are not done in an encounter that uses 0501f-0503F. They look to regular CPT codes, 99212-99215, etc. Is there any reason you don't allow the 0501F - 0503F codes to be acceptable billing codes for this measure? Can CMS consider adding them?

        1. CMS 2 - mapping examples.docx
          902 kB

            Assignee:
            AIR EC eCQM Team
            Reporter:
            Deborah Weinstein (Inactive)
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              Created:
              Updated:
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