Depression Office Visit Documentation and Follow-Up Plan

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Jessica Czerwinski
    • Advocate Health
    • Hide
      Thank you for inquiring about the CMS2v14 (Preventive Care and Screening: Screening for Depression and Follow-Up Plan) eCQM. This version of the measure includes SNOMED CT code 410234004 (Management of mental health treatment (procedure)) in the Follow Up for Adult Depression value set. Therefore, if the SNOMEDCT code is documented on the date of or up to two days after the date of the qualifying encounter, then it counts for appropriate follow-up if the patient has a positive depression screen.
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      Thank you for inquiring about the CMS2v14 (Preventive Care and Screening: Screening for Depression and Follow-Up Plan) eCQM. This version of the measure includes SNOMED CT code 410234004 (Management of mental health treatment (procedure)) in the Follow Up for Adult Depression value set. Therefore, if the SNOMEDCT code is documented on the date of or up to two days after the date of the qualifying encounter, then it counts for appropriate follow-up if the patient has a positive depression screen.
    • CMS0002v14
    • Clear guidance would help ensuring that encounters meeting the intent of the measure are accurately captured and reported.

      If a patient has an office visit (OV) specifically for depression, and the provider documents active depression in the note, including all necessary MEAT components (Monitor, Evaluate, Assess/Address, Treat) such as assessment and plan, and codes depression on the claim, does this documentation qualify as a follow-up plan?

      The provider’s note includes:

      • The reason for the visit being depression assessment.
      • Documentation of the follow-up plan within the note.
      • All elements required to bill the diagnosis of depression.

      Additionally, we associate SNOMED code 410234004 – Management of mental health treatment (procedure) with the visit to support the clinical documentation and coding.

      Would this scenario be considered compliant with CMS expectations for a documented follow-up plan?

            Assignee:
            AIR EC eCQM Team
            Reporter:
            Jessica Czerwinski
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              Created:
              Updated:
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