CMS159v5 – Depression Remission at Twelve Months

Depression Remission at Twelve Months CMS159v5 The percentage of patients 18 years of age or older with major depression or dysthymia who reached remission 12 months (+/- 30 days) after an index visit.
– DENOMINATOR:

Patients age 18 and older with a diagnosis of major depression or dysthymia and an initial PHQ-9 score greater than nine during the index visit.

– NUMERATOR:

Patients who achieved remission at twelve months as demonstrated by a twelve month (+/- 30 days grace period) PHQ-9 score of less than five.

– DENOMINATOR EXCLUSION:

  • Patients who died
  • Patients who received hospice or palliative care services
  • Patients who were permanent nursing home residents
  • Patients with a diagnosis of bipolar disorder
  • Patients with a diagnosis of personality disorder
– APPLICATION WORKFLOW

For Denominator:

Patients age 18 and older with a diagnosis of major depression or dysthymia and an initial PHQ-9 score greater than nine during the index visit are included in the denominator. To record diagnosis, navigate to Patient > Provider Note > Diagnosis

Diagnosis

The documentation of the first encounter takes place when one visit code gets attached with the patient’s eSuperbill/ charge.

For Numerator:

Patients who achieved remission at twelve months as demonstrated by a twelve month (+/- 30 days grace period) PHQ-9 score of less than five are included in the numerator of this measure. To record PHQ-9 Tool, navigate to Patient > Clinical > Evaluations

Evaluations

To learn more about how to add Evaluations, click here.

– DENOMINATOR EXCLUSION:

  • Patients who died
  • Patients who received hospice or palliative care services
  • Patients who were permanent nursing home residents
  • Patients with a diagnosis of bipolar disorder
  • Patients with a diagnosis of personality disorder