CMS161v12 – Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

Patient visits for patients that are 17 years of age or older at the start of the measurement period during which a new diagnosis of MDD, single or recurrent episode, was identified.

A qualifying MDD encounter in this case can include any of the following:

• Psych Visit Diagnostic Evaluation
• Emergency Department Evaluation and Management Visit
• Office Visit
• Outpatient Consultation
• Psych Visit Psychotherapy
• Psychoanalysis
• Telehealth Services

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

– NUMERATOR:

Patient visits during which a new diagnosis of MDD, single or recurrent episode, was identified and a suicide risk assessment was completed during the visit.

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

• To record an encounter, navigate to Patient > Provider Note > 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:

To document the risk assessment, navigate to Patient > Provider Note > Evaluations. Click ‘Add’ and search for an intervention. Select ‘Performed’ from the ‘Status’ dropdown. Then click ‘Save & Accept’ or ‘Sign & Accept’.