CMS177v11 – Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment

All patient visits for those patients aged 6 through 17 years with a diagnosis of major depressive disorder.

In this case, a qualifying visit includes any of the following:

• Office Visit
• Outpatient Consultation
• Psych Visit Diagnostic Evaluation
• Psych Visit for Family Psychotherapy
• Psych Visit Psychotherapy
• Psychoanalysis
• Group Psychotherapy
• Telehealth Services

Note: The major depressive disorder (MDD) diagnosis must take placing during one of these visits.

– NUMERATOR

Patient visits with an assessment for suicide risk.

Note: The suicide risk assessment must happen during an encounter for Major Depressive Disorder.

For Denominator:

• To record an encounter, navigate to Patient > Provider Notes > Create Superbill. Under the ‘Procedure- CPTs’ heading, enter the encounter code.

• For documentation of MDD diagnosis, use the workflow Patient > Provider Notes > Diagnoses. Click ‘Add’ and search for the relevant diagnosis. Fill out any details that are needed and once done, click ‘Save’.

For Numerator:

• Documentation of suicide risk assessment can be done via Patient > Provider Notes > Evaluations. Here, search for ‘Suicide Risk Assessment (Procedure)’ and from the ‘Status’ drop down, select Performed. Once done, click ‘Save & Accept’ or ‘Sign & Accept’.