CMS159v8 – Depression Remission at Twelve Months

Adolescent patients 12 to 17 years of age and adult patients 18 years of age and older with a diagnosis of major depression or dysthymia and an initial PHQ-9 or PHQ-9M score greater than nine during the index event. Patients may be screened using PHQ-9 and PHQ-9M up to 7 days prior to the office visit (including the day of the office visit).

– NUMERATOR:

Adolescent patients 12 to 17 years of age and adult patients 18 years of age and older who achieved remission at twelve months as demonstrated by a twelve month (+/- 60 days) PHQ-9 or PHQ-9M 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
• Patients with a diagnosis of schizophrenia or psychotic disorder
• Patients with a diagnosis of pervasive developmental disorder

For Denominator:

All adolescent patients 12 to 17 years of age, adult patients 18 years of age and older with a diagnosis of major depression or dysthymia and an initial PHQ-9 or PHQ-9M score greater than nine during the index event are included in the denominator.

You can record diagnosis of Major Depression Including Remission or Dysthymia, navigate to Patient > Provider Note > Diagnosis.

Moreover, the documentation of first encounter takes place when one visit code gets attached with the patient’s eSuperbill/ charge. To record Contact or Office Visit, navigate to Patient > Provider Note > eSuperbill.

For Numerator:

All patient from the age of 12 years and older who had PHQ-9 or PHQ-9M assessment and scored less than 5 within 8 to 12 months of first assessment performed are included in the numerator of this measure. To record PHQ-9 Tool, navigate to Patient > Clinical > Evaluations

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

For Denominator Exclusions:

• Patient with palliative care (Patient > Clinical > Evaluations)
• Patient with encounter of palliative care
• Patient with care services in long-term residential facility (Patient > Clinical > Evaluations or Patient > Clinical > Order and Results > Procedures or Patient > Provider Note > eSuperbill )
• Patients who died
• Patients with a diagnosis of bipolar disorder (Patient > Provider Note > Diagnosis)
• Patients with a diagnosis of personality disorder
• Patients with a diagnosis of schizophrenia or psychotic disorder
• Patients with a diagnosis of pervasive developmental disorder