Depression Remission at Twelve Months (2022)
| eCQMs / NQF #: | CMS159v10 / 0710e |
| Measure: | The percentage of adolescent patients 12 to 17 years of age and adult patients 18 years of age or older with major depression or dysthymia who reached remission 12 months (+/- 60 days) after an index event. |
| 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: | 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 assessed using PHQ-9 or PHQ-9M on the same date or up to 7 days prior to the encounter (index event). |
| Denominator Exclusion: | 1: Patients who died.
2: Patients who received hospice or palliative care services. 3: Patients who were permanent nursing home residents. 4: Patients with a diagnosis of bipolar disorder. 5: Patients with a diagnosis of personality disorder emotionally labile. 6: Patients with a diagnosis of schizophrenia or psychotic disorder. 7: Patients with a diagnosis of pervasive developmental disorder. |
| Domain: | Effective Clinical Care |
In ChartMaker Clinical:
In order to qualify for this measure, the patient must be at least 12 years of age or older 14 to 2 months prior to the start of the measurement period, and have the appropriate information documented in the chart:
Required Data Elements for the Denominator:
This is captured by adding a procedure with a valid CPT or HCPCS code using the Procedure widget in a note.
| CPT/HCPCS: | |
| Code | Description |
| 90791 | Psychiatric diagnostic evaluation |
| 90792 | Psychiatric diagnostic evaluation with medical services |
| 90832 | Psychotherapy, 30 minutes with patient |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure) |
| 90834 | Psychotherapy, 45 minutes with patient |
| 90836 | Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure) |
| 90837 | Psychotherapy, 60 minutes with patient |
| 90838 | Psychotherapy, 60 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure) |
| 90839 | Psychotherapy for crisis; first 60 minutes |
| 90840 | Psychotherapy for crisis; each additional 30 minutes (List separately in addition to code for primary service) |
| 96156 | Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making) |
| 96158 | Health behavior intervention, individual, face-to-face; initial 30 minutes |
| 96159 | Health behavior intervention, individual, face-to-face; each additional 15 minutes (List separately in addition to code for primary service) |
| 99201 | Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family. |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter. |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total time is spent on the date of the encounter. |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter. |
| 99205 | Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter. |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal. |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 10-19 minutes of total time is spent on the date of the encounter. |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter. |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter. |
| 99215 | Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter. |
| 99421 | Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes |
| 99422 | Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes |
| 99423 | Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes |
| 99441 | Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
| 99442 | Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion |
| 99443 | Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
This is captured by adding a diagnosis with a valid ICD10 or SNOMED code using the Diagnosis widget in a note.
| ICD-10: | |
| Code | Description |
| F32.0 | Major depressive disorder, single episode, mild |
| F32.1 | Major depressive disorder, single episode, moderate |
| F32.2 | Major depressive disorder, single episode, severe without psychotic features |
| F32.3 | Major depressive disorder, single episode, severe with psychotic features |
| F32.4 | Major depressive disorder, single episode, in partial remission |
| F32.5 | Major depressive disorder, single episode, in full remission |
| F32.9 | Major depressive disorder, single episode, unspecified |
| F33.0 | Major depressive disorder, recurrent, mild |
| F33.1 | Major depressive disorder, recurrent, moderate |
| F33.2 | Major depressive disorder, recurrent severe without psychotic features |
| F33.3 | Major depressive disorder, recurrent, severe with psychotic symptoms |
| F33.40 | Major depressive disorder, recurrent, in remission, unspecified |
| F33.41 | Major depressive disorder, recurrent, in partial remission |
| F33.42 | Major depressive disorder, recurrent, in full remission |
| F33.9 | Major depressive disorder, recurrent, unspecified |
| F34.1 | Dysthymic disorder |
| SNOMED: | |
| Code | Description |
| 104851000119103 | Postpartum major depression in remission (disorder) |
| 10811121000119102 | Major depressive disorder in mother complicating childbirth (disorder) |
| 10811161000119107 | Major depressive disorder in mother complicating pregnancy (disorder) |
| 14183003 | Chronic major depressive disorder, single episode (disorder) |
| 15193003 | Severe recurrent major depression with psychotic features, mood-incongruent (disorder) |
| 15639000 | Moderate major depression, single episode (disorder) |
| 16264621000119109 | Recurrent mild major depressive disorder co-occurrent with anxiety (disorder) |
| 16264901000119109 | Recurrent moderate major depressive disorder co-occurrent with anxiety (disorder) |
| 16265951000119109 | Mild major depressive disorder co-occurrent with anxiety single episode (disorder) |
| 16266831000119100 | Moderate major depressive disorder co-occurrent with anxiety single episode (disorder) |
| 16266991000119108 | Severe major depressive disorder co-occurrent with anxiety single episode (disorder) |
| 18818009 | Moderate recurrent major depression (disorder) |
| 191604000 | Single major depressive episode, severe, with psychosis (disorder) |
| 191606003 | Single major depressive episode, in full remission (disorder) |
| 191610000 | Recurrent major depressive episodes, mild (disorder) |
| 191611001 | Recurrent major depressive episodes, moderate (disorder) |
| 191613003 | Recurrent major depressive episodes, severe, with psychosis (disorder) |
| 191615005 | Recurrent major depressive episodes, in full remission (disorder) |
| 19527009 | Single episode of major depression in full remission (disorder) |
| 19694002 | Late onset dysthymia (disorder) |
| 20250007 | Severe major depression, single episode, with psychotic features, mood-incongruent (disorder) |
| 2506003 | Early onset dysthymia (disorder) |
| 251000119105 | Severe major depression, single episode (disorder) |
| 25922000 | Major depressive disorder, single episode with postpartum onset (disorder) |
| 2618002 | Chronic recurrent major depressive disorder (disorder) |
| 268620009 | Single major depressive episode (disorder) |
| 268621008 | Recurrent major depressive episodes (disorder) |
| 281000119103 | Severe recurrent major depression (disorder) |
| 28475009 | Severe recurrent major depression with psychotic features (disorder) |
| 30605009 | Major depression in partial remission (disorder) |
| 3109008 | Secondary dysthymia early onset (disorder) |
| 319768000 | Recurrent major depressive disorder with melancholic features (disorder) |
| 320751009 | Major depression, melancholic type (disorder) |
| 33078009 | Severe recurrent major depression with psychotic features, mood-congruent (disorder) |
| 33135002 | Recurrent major depression in partial remission (disorder) |
| 33736005 | Severe major depression with psychotic features, mood-congruent (disorder) |
| 36170009 | Secondary dysthymia late onset (disorder) |
| 36474008 | Severe recurrent major depression without psychotic features (disorder) |
| 36923009 | Major depression, single episode (disorder) |
| 370143000 | Major depressive disorder (disorder) |
| 38451003 | Primary dysthymia early onset (disorder) |
| 38694004 | Recurrent major depressive disorder with atypical features (disorder) |
| 39809009 | Recurrent major depressive disorder with catatonic features (disorder) |
| 40379007 | Mild recurrent major depression (disorder) |
| 42810003 | Major depression in remission (disorder) |
| 42925002 | Major depressive disorder, single episode with atypical features (disorder) |
| 430852001 | Severe major depression, single episode, with psychotic features (disorder) |
| 450714000 | Severe major depression (disorder) |
| 46244001 | Recurrent major depression in full remission (disorder) |
| 60099002 | Severe major depression with psychotic features, mood-incongruent (disorder) |
| 63412003 | Major depression in full remission (disorder) |
| 63778009 | Major depressive disorder, single episode with melancholic features (disorder) |
| 66344007 | Recurrent major depression (disorder) |
| 67711008 | Primary dysthymia late onset (disorder) |
| 68019004 | Recurrent major depression in remission (disorder) |
| 69392006 | Major depressive disorder, single episode with catatonic features (disorder) |
| 70747007 | Major depression single episode, in partial remission (disorder) |
| 71336009 | Recurrent major depressive disorder with postpartum onset (disorder) |
| 719592004 | Moderately severe major depression (disorder) |
| 720451004 | Minimal recurrent major depression (disorder) |
| 720452006 | Moderately severe recurrent major depression (disorder) |
| 720453001 | Moderately severe major depression single episode (disorder) |
| 720454007 | Minimal major depression single episode (disorder) |
| 720455008 | Minimal major depression (disorder) |
| 726772006 | Major depression with psychotic features (disorder) |
| 73867007 | Severe major depression with psychotic features (disorder) |
| 75084000 | Severe major depression without psychotic features (disorder) |
| 76441001 | Severe major depression, single episode, without psychotic features (disorder) |
| 77911002 | Severe major depression, single episode, with psychotic features, mood-congruent (disorder) |
| 78667006 | Dysthymia (disorder) |
| 79298009 | Mild major depression, single episode (disorder) |
| 83176005 | Primary dysthymia (disorder) |
| 832007 | Moderate major depression (disorder) |
| 85080004 | Secondary dysthymia (disorder) |
| 87512008 | Mild major depression (disorder) |
This is captured on the date of the encounter or 7 days prior to the encounter for patients ages 12 – 17 by completing the PHQ9-Modified for Teenagers panel, or for patients 17 and older by completing the Quick Depression Assessment Panel (PHQ9), via the Screening widget.
PHQ9-Modified for Teenagers:
Quick Depression Assessment Panel (PHQ9):
Denominator Exclusions:
Denominator exclusions include patients who have died, or have received hospice or palliative care services, were permanent nursing home residents, or have been diagnosed with bipolar disorder, personality disorder emotionally labile, schizophrenia or psychotic disorder, or pervasive developmental disorder during the measure assessment period.
If one of the following is documented in the chart, the patient will not be included in the denominator:
To indicate a patient has died, in the ID tab of the patient’s chart in Clinical, change the Status to Deceased.
This is captured by adding a procedure with a valid SNOMED code using the Procedure widget in a note, or by adding a valid diagnosis with a valid ICD10 code using the Diagnosis widget in a note.
| SNOMED: | |
| Code | Description |
| 103735009 | Palliative care (regime/therapy) |
| 133918004 | Comfort measures (regime/therapy) |
| 182964004 | Terminal care (regime/therapy) |
| 305284002 | Admission by palliative care physician (procedure) |
| 305381007 | Admission to palliative care department (procedure) |
| 305981001 | Referral by palliative care physician (procedure) |
| 306237005 | Referral to palliative care service (procedure) |
| 306288008 | Referral to palliative care physician (procedure) |
| 385736008 | Dying care (regime/therapy) |
| 385763009 | Hospice care (regime/therapy) |
| ICD10: | |
| Code | Description |
| Z51.5 | Encounter for palliative care |
This is captured by adding a procedure with a valid CPT or SNOMED code using the Procedure widget in a note.
| CPT: | |
| Code | Description |
| 99324 | Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of low severity. Typically, 20 minutes are spent with the patient and/or family or caregiver. |
| 99325 | Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent with the patient and/or family or caregiver. |
| 99326 | Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent with the patient and/or family or caregiver. |
| 99327 | Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of high severity. Typically, 60 minutes are spent with the patient and/or family or caregiver. |
| 99328 | Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the patient is unstable or has developed a significant new problem requiring immediate physician attention. Typically, 75 minutes are spent with the patient and/or family or caregiver. |
| 99334 | Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self-limited or minor. Typically, 15 minutes are spent with the patient and/or family or caregiver. |
| 99335 | Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 25 minutes are spent with the patient and/or family or caregiver. |
| 99336 | Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent with the patient and/or family or caregiver. |
| 99337 | Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of moderate to high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Typically, 60 minutes are spent with the patient and/or family or caregiver. |
| SNOMED: | |
| Code | Description |
| 209099002 | History and physical examination with management of domiciliary or rest home patient (procedure) |
| 210098006 | Domiciliary or rest home patient evaluation and management (procedure) |
This is captured by adding a diagnosis with a valid ICD10 or SNOMED code using the Diagnosis widget in a note.
| ICD-10: | |
| Code | Description |
| F30.10 | Manic episode without psychotic symptoms, unspecified |
| F30.11 | Manic episode without psychotic symptoms, mild |
| F30.12 | Manic episode without psychotic symptoms, moderate |
| F30.13 | Manic episode, severe, without psychotic symptoms |
| F30.2 | Manic episode, severe with psychotic symptoms |
| F30.3 | Manic episode in partial remission |
| F30.4 | Manic episode in full remission |
| F30.8 | Other manic episodes |
| F30.9 | Manic episode, unspecified |
| F31.0 | Bipolar disorder, current episode hypomanic |
| F31.10 | Bipolar disorder, current episode manic without psychotic features, unspecified |
| F31.11 | Bipolar disorder, current episode manic without psychotic features, mild |
| F31.12 | Bipolar disorder, current episode manic without psychotic features, moderate |
| F31.13 | Bipolar disorder, current episode manic without psychotic features, severe |
| F31.2 | Bipolar disorder, current episode manic severe with psychotic features |
| F31.30 | Bipolar disorder, current episode depressed, mild or moderate severity, unspecified |
| F31.31 | Bipolar disorder, current episode depressed, mild |
| F31.32 | Bipolar disorder, current episode depressed, moderate |
| F31.4 | Bipolar disorder, current episode depressed, severe, without psychotic features |
| F31.5 | Bipolar disorder, current episode depressed, severe, with psychotic features |
| F31.60 | Bipolar disorder, current episode mixed, unspecified |
| F31.61 | Bipolar disorder, current episode mixed, mild |
| F31.62 | Bipolar disorder, current episode mixed, moderate |
| F31.63 | Bipolar disorder, current episode mixed, severe, without psychotic features |
| F31.64 | Bipolar disorder, current episode mixed, severe, with psychotic features |
| F31.70 | Bipolar disorder, currently in remission, most recent episode unspecified |
| F31.71 | Bipolar disorder, in partial remission, most recent episode hypomanic |
| F31.72 | Bipolar disorder, in full remission, most recent episode hypomanic |
| F31.73 | Bipolar disorder, in partial remission, most recent episode manic |
| F31.74 | Bipolar disorder, in full remission, most recent episode manic |
| F31.75 | Bipolar disorder, in partial remission, most recent episode depressed |
| F31.76 | Bipolar disorder, in full remission, most recent episode depressed |
| F31.77 | Bipolar disorder, in partial remission, most recent episode mixed |
| F31.78 | Bipolar disorder, in full remission, most recent episode mixed |
| F31.81 | Bipolar II disorder |
| F31.89 | Other bipolar disorder |
| F31.9 | Bipolar disorder, unspecified |
| SNOMED: | |
| Code | Description |
| 10875004 | Severe mixed bipolar I disorder with psychotic features, mood-incongruent (disorder) |
| 10981006 | Severe mixed bipolar I disorder with psychotic features (disorder) |
| 111485001 | Mixed bipolar I disorder in full remission (disorder) |
| 1196001 | Chronic bipolar II disorder, most recent episode major depressive (disorder) |
| 12969000 | Severe bipolar II disorder, most recent episode major depressive, in full remission (disorder) |
| 133091000119105 | Rapid cycling bipolar I disorder (disorder) |
| 13313007 | Mild bipolar disorder (disorder) |
| 13581000 | Severe bipolar I disorder, single manic episode with psychotic features, mood-congruent (disorder) |
| 13746004 | Bipolar disorder (disorder) |
| 14495005 | Severe bipolar I disorder, single manic episode without psychotic features (disorder) |
| 1499003 | Bipolar I disorder, single manic episode with postpartum onset (disorder) |
| 162004 | Severe manic bipolar I disorder without psychotic features (disorder) |
| 16295005 | Bipolar II disorder, most recent episode major depressive (disorder) |
| 16506000 | Mixed bipolar I disorder (disorder) |
| 17782008 | Bipolar I disorder, most recent episode manic with catatonic features (disorder) |
| 191618007 | Bipolar affective disorder, current episode manic (disorder) |
| 191620005 | Bipolar affective disorder, currently manic, mild (disorder) |
| 191621009 | Bipolar affective disorder, currently manic, moderate (disorder) |
| 191623007 | Bipolar affective disorder, currently manic, severe, with psychosis (disorder) |
| 191625000 | Bipolar affective disorder, currently manic, in full remission (disorder) |
| 191627008 | Bipolar affective disorder, current episode depression (disorder) |
| 191629006 | Bipolar affective disorder, currently depressed, mild (disorder) |
| 191630001 | Bipolar affective disorder, currently depressed, moderate (disorder) |
| 191632009 | Bipolar affective disorder, currently depressed, severe, with psychosis (disorder) |
| 191634005 | Bipolar affective disorder, currently depressed, in full remission (disorder) |
| 191636007 | Mixed bipolar affective disorder (disorder) |
| 191638008 | Mixed bipolar affective disorder, mild (disorder) |
| 191639000 | Mixed bipolar affective disorder, moderate (disorder) |
| 191641004 | Mixed bipolar affective disorder, severe, with psychosis (disorder) |
| 191643001 | Mixed bipolar affective disorder, in full remission (disorder) |
| 192362008 | Bipolar affective disorder, current episode mixed (disorder) |
| 19300006 | Severe bipolar II disorder, most recent episode major depressive with psychotic features, mood-congruent (disorder) |
| 20960007 | Severe bipolar II disorder, most recent episode major depressive with psychotic features, mood-incongruent (disorder) |
| 21900002 | Bipolar I disorder, most recent episode depressed with catatonic features (disorder) |
| 22121000 | Depressed bipolar I disorder in full remission (disorder) |
| 22407005 | Bipolar II disorder, most recent episode major depressive with catatonic features (disorder) |
| 231444002 | Organic bipolar disorder (disorder) |
| 23741000119105 | Severe manic bipolar I disorder (disorder) |
| 261000119107 | Severe depressed bipolar I disorder (disorder) |
| 26203008 | Severe depressed bipolar I disorder with psychotic features, mood-incongruent (disorder) |
| 26530004 | Severe bipolar disorder with psychotic features, mood-incongruent (disorder) |
| 271000119101 | Severe mixed bipolar I disorder (disorder) |
| 28663008 | Severe manic bipolar I disorder with psychotic features (disorder) |
| 28884001 | Moderate bipolar I disorder, single manic episode (disorder) |
| 29929003 | Bipolar I disorder, most recent episode depressed with atypical features (disorder) |
| 30520009 | Severe bipolar II disorder, most recent episode major depressive with psychotic features (disorder) |
| 30687003 | Bipolar II disorder, most recent episode major depressive with postpartum onset (disorder) |
| 30935000 | Manic bipolar I disorder in full remission (disorder) |
| 31446002 | Bipolar I disorder, most recent episode hypomanic (disorder) |
| 33380008 | Severe manic bipolar I disorder with psychotic features, mood-incongruent (disorder) |
| 34315001 | Bipolar II disorder, most recent episode major depressive with melancholic features (disorder) |
| 3530005 | Bipolar I disorder, single manic episode, in full remission (disorder) |
| 35481005 | Mixed bipolar I disorder in remission (disorder) |
| 35722002 | Severe bipolar II disorder, most recent episode major depressive, in remission (disorder) |
| 35846004 | Moderate bipolar II disorder, most recent episode major depressive (disorder) |
| 36583000 | Mixed bipolar I disorder in partial remission (disorder) |
| 371596008 | Bipolar I disorder (disorder) |
| 371599001 | Severe bipolar I disorder (disorder) |
| 371600003 | Severe bipolar disorder (disorder) |
| 371604007 | Severe bipolar II disorder (disorder) |
| 40926005 | Moderate mixed bipolar I disorder (disorder) |
| 41552001 | Mild bipolar I disorder, single manic episode (disorder) |
| 41832009 | Severe bipolar I disorder, single manic episode with psychotic features (disorder) |
| 41836007 | Bipolar disorder in full remission (disorder) |
| 43568002 | Bipolar II disorder, most recent episode major depressive with atypical features (disorder) |
| 43769008 | Mild mixed bipolar I disorder (disorder) |
| 4441000 | Severe bipolar disorder with psychotic features (disorder) |
| 45479006 | Manic bipolar I disorder in remission (disorder) |
| 46229002 | Severe mixed bipolar I disorder without psychotic features (disorder) |
| 48937005 | Bipolar II disorder, most recent episode hypomanic (disorder) |
| 49468007 | Depressed bipolar I disorder (disorder) |
| 49512000 | Depressed bipolar I disorder in partial remission (disorder) |
| 51637008 | Chronic bipolar I disorder, most recent episode depressed (disorder) |
| 53049002 | Severe bipolar disorder without psychotic features (disorder) |
| 53607008 | Depressed bipolar I disorder in remission (disorder) |
| 54761006 | Severe depressed bipolar I disorder with psychotic features, mood-congruent (disorder) |
| 55516002 | Bipolar I disorder, most recent episode manic with postpartum onset (disorder) |
| 5703000 | Bipolar disorder in partial remission (disorder) |
| 59617007 | Severe depressed bipolar I disorder with psychotic features (disorder) |
| 61403008 | Severe depressed bipolar I disorder without psychotic features (disorder) |
| 63249007 | Manic bipolar I disorder in partial remission (disorder) |
| 64731001 | Severe mixed bipolar I disorder with psychotic features, mood-congruent (disorder) |
| 65042007 | Bipolar I disorder, most recent episode mixed with postpartum onset (disorder) |
| 66631006 | Moderate depressed bipolar I disorder (disorder) |
| 67002003 | Severe bipolar II disorder, most recent episode major depressive, in partial remission (disorder) |
| 68569003 | Manic bipolar I disorder (disorder) |
| 70546001 | Severe bipolar disorder with psychotic features, mood-congruent (disorder) |
| 71294008 | Mild bipolar II disorder, most recent episode major depressive (disorder) |
| 71984005 | Mild manic bipolar I disorder (disorder) |
| 723903001 | Bipolar type I disorder currently in full remission (disorder) |
| 723905008 | Bipolar type II disorder currently in full remission (disorder) |
| 73471000 | Bipolar I disorder, most recent episode mixed with catatonic features (disorder) |
| 74686005 | Mild depressed bipolar I disorder (disorder) |
| 75360000 | Bipolar I disorder, single manic episode, in remission (disorder) |
| 75752004 | Bipolar I disorder, most recent episode depressed with melancholic features (disorder) |
| 765176007 | Psychosis and severe depression co-occurrent and due to bipolar affective disorder (disorder) |
| 767631007 | Bipolar disorder, most recent episode depression (disorder) |
| 767632000 | Bipolar disorder, most recent episode manic (disorder) |
| 767633005 | Bipolar affective disorder, most recent episode mixed (disorder) |
| 767635003 | Bipolar I disorder, most recent episode manic (disorder) |
| 767636002 | Bipolar I disorder, most recent episode depression (disorder) |
| 78269000 | Bipolar I disorder, single manic episode, in partial remission (disorder) |
| 78640000 | Severe manic bipolar I disorder with psychotic features, mood-congruent (disorder) |
| 79584002 | Moderate bipolar disorder (disorder) |
| 81319007 | Severe bipolar II disorder, most recent episode major depressive without psychotic features (disorder) |
| 82998009 | Moderate manic bipolar I disorder (disorder) |
| 83225003 | Bipolar II disorder (disorder) |
| 85248005 | Bipolar disorder in remission (disorder) |
| 86058007 | Severe bipolar I disorder, single manic episode with psychotic features, mood-incongruent (disorder) |
| 87203005 | Bipolar I disorder, most recent episode depressed with postpartum onset (disorder) |
| 87950005 | Bipolar I disorder, single manic episode with catatonic features (disorder) |
| 9340000 | Bipolar I disorder, single manic episode (disorder) |
This is captured by adding a diagnosis with a valid ICD10 or SNOMED code using the Diagnosis widget in a note.
| ICD-10: | |
| Code | Description |
| F34.0 | Cyclothymic disorder |
| F60.3 | Borderline personality disorder |
| F60.4 | Histrionic personality disorder |
| F68.10 | Factitious disorder imposed on self, unspecified |
| F68.11 | Factitious disorder imposed on self, with predominantly psychological signs and symptoms |
| F68.12 | Factitious disorder imposed on self, with predominantly physical signs and symptoms |
| F68.13 | Factitious disorder imposed on self, with combined psychological and physical signs and symptoms |
| SNOMED: | |
| Code | Description |
| 191765005 | Emotionally unstable personality disorder (disorder) |
| 20010003 | Borderline personality disorder (disorder) |
| 21586000 | Munchausen’s syndrome (disorder) |
| 24315006 | Factitious disorder with combined physical AND psychological symptoms (disorder) |
| 33693007 | Compensation neurosis (disorder) |
| 430744005 | Factitious disorder with predominantly physical signs and symptoms (disorder) |
| 430751001 | Factitious disorder with predominantly psychological signs and symptoms (disorder) |
| 55341008 | Histrionic personality disorder (disorder) |
| 76105009 | Cyclothymia (disorder) |
This is captured by adding a diagnosis with a valid ICD10 or SNOMED code using the Diagnosis widget in a note.
| ICD-10: | |
| Code | Description |
| F20.0 | Paranoid schizophrenia |
| F20.1 | Disorganized schizophrenia |
| F20.2 | Catatonic schizophrenia |
| F20.3 | Undifferentiated schizophrenia |
| F20.5 | Residual schizophrenia |
| F20.81 | Schizophreniform disorder |
| F20.89 | Other schizophrenia |
| F20.9 | Schizophrenia, unspecified |
| F21 | Schizotypal disorder |
| F23 | Brief psychotic disorder |
| F25.0 | Schizoaffective disorder, bipolar type |
| F25.1 | Schizoaffective disorder, depressive type |
| F25.8 | Other schizoaffective disorders |
| F25.9 | Schizoaffective disorder, unspecified |
| F28 | Other psychotic disorder not due to a substance or known physiological condition |
| F29 | Unspecified psychosis not due to a substance or known physiological condition |
| SNOMED: | |
| Code | Description |
| 111482003 | Subchronic schizophrenia with acute exacerbations (disorder) |
| 111483008 | Catatonic schizophrenia in remission (disorder) |
| 111484002 | Undifferentiated schizophrenia (disorder) |
| 12939007 | Chronic disorganized schizophrenia (disorder) |
| 14291003 | Subchronic disorganized schizophrenia with acute exacerbations (disorder) |
| 16990005 | Subchronic schizophrenia (disorder) |
| 191526005 | Schizophrenic disorders (disorder) |
| 191527001 | Simple schizophrenia (disorder) |
| 191530008 | Acute exacerbation of subchronic schizophrenia (disorder) |
| 191531007 | Acute exacerbation of chronic schizophrenia (disorder) |
| 191536002 | Subchronic hebephrenic schizophrenia (disorder) |
| 191537006 | Chronic hebephrenic schizophrenia (disorder) |
| 191538001 | Acute exacerbation of subchronic hebephrenic schizophrenia (disorder) |
| 191539009 | Acute exacerbation of chronic hebephrenic schizophrenia (disorder) |
| 191540006 | Hebephrenic schizophrenia in remission (disorder) |
| 191542003 | Catatonic schizophrenia (disorder) |
| 191547009 | Acute exacerbation of subchronic catatonic schizophrenia (disorder) |
| 191548004 | Acute exacerbation of chronic catatonic schizophrenia (disorder) |
| 191554003 | Acute exacerbation of subchronic paranoid schizophrenia (disorder) |
| 191555002 | Acute exacerbation of chronic paranoid schizophrenia (disorder) |
| 191559008 | Latent schizophrenia (disorder) |
| 191561004 | Subchronic latent schizophrenia (disorder) |
| 191562006 | Chronic latent schizophrenia (disorder) |
| 191563001 | Acute exacerbation of subchronic latent schizophrenia (disorder) |
| 191564007 | Acute exacerbation of chronic latent schizophrenia (disorder) |
| 191567000 | Schizoaffective schizophrenia (disorder) |
| 191569002 | Subchronic schizoaffective schizophrenia (disorder) |
| 191570001 | Chronic schizoaffective schizophrenia (disorder) |
| 191571002 | Acute exacerbation of subchronic schizoaffective schizophrenia (disorder) |
| 191572009 | Acute exacerbation of chronic schizoaffective schizophrenia (disorder) |
| 191574005 | Schizoaffective schizophrenia in remission (disorder) |
| 191577003 | Cenesthopathic schizophrenia (disorder) |
| 191680007 | Psychogenic paranoid psychosis (disorder) |
| 231437006 | Reactive psychoses (disorder) |
| 231489001 | Acute transient psychotic disorder (disorder) |
| 247804008 | Schizophrenic prodrome (disorder) |
| 26025008 | Residual schizophrenia (disorder) |
| 268617001 | Acute schizophrenic episode (disorder) |
| 268624000 | Acute paranoid reaction (disorder) |
| 270901009 | Schizoaffective disorder, mixed type (disorder) |
| 271428004 | Schizoaffective disorder, manic type (disorder) |
| 27387000 | Subchronic disorganized schizophrenia (disorder) |
| 274952002 | Borderline schizophrenia (disorder) |
| 278853003 | Acute schizophrenia-like psychotic disorder (disorder) |
| 29599000 | Chronic undifferentiated schizophrenia (disorder) |
| 30336007 | Chronic residual schizophrenia with acute exacerbations (disorder) |
| 31027006 | Schizotypal personality disorder (disorder) |
| 31373002 | Disorganized schizophrenia in remission (disorder) |
| 31658008 | Chronic paranoid schizophrenia (disorder) |
| 35218008 | Chronic disorganized schizophrenia with acute exacerbation (disorder) |
| 35252006 | Disorganized schizophrenia (disorder) |
| 36158005 | Schizophreniform disorder with good prognostic features (disorder) |
| 38368003 | Schizoaffective disorder, bipolar type (disorder) |
| 39610001 | Undifferentiated schizophrenia in remission (disorder) |
| 416340002 | Late onset schizophrenia (disorder) |
| 42868002 | Subchronic catatonic schizophrenia (disorder) |
| 441704009 | Affective psychosis (disorder) |
| 441833000 | Lethal catatonia (disorder) |
| 4926007 | Schizophrenia in remission (disorder) |
| 51133006 | Residual schizophrenia in remission (disorder) |
| 5464005 | Brief reactive psychosis (disorder) |
| 55736003 | Schizophreniform disorder without good prognostic features (disorder) |
| 58214004 | Schizophrenia (disorder) |
| 63181006 | Paranoid schizophrenia in remission (disorder) |
| 64905009 | Paranoid schizophrenia (disorder) |
| 68890003 | Schizoaffective disorder (disorder) |
| 68995007 | Chronic catatonic schizophrenia (disorder) |
| 7025000 | Subchronic undifferentiated schizophrenia with acute exacerbations (disorder) |
| 70814008 | Subchronic residual schizophrenia with acute exacerbations (disorder) |
| 71103003 | Chronic residual schizophrenia (disorder) |
| 76566000 | Subchronic residual schizophrenia (disorder) |
| 79204003 | Chronic undifferentiated schizophrenia with acute exacerbations (disorder) |
| 79866005 | Subchronic paranoid schizophrenia (disorder) |
| 83746006 | Chronic schizophrenia (disorder) |
| 84760002 | Schizoaffective disorder, depressive type (disorder) |
| 85861002 | Subchronic undifferentiated schizophrenia (disorder) |
| 88975006 | Schizophreniform disorder (disorder) |
This is captured by adding a diagnosis with a valid ICD10 or SNOMED code using the Diagnosis widget in a note.
| ICD-10: | |
| Code | Description |
| F84.0 | Autistic disorder |
| F84.3 | Other childhood disintegrative disorder |
| F84.8 | Other pervasive developmental disorders |
| F84.9 | Pervasive developmental disorder, unspecified |
| SNOMED: | |
| Code | Description |
| 191689008 | Active infantile autism (disorder) |
| 191690004 | Residual infantile autism (disorder) |
| 231536004 | Atypical autism (disorder) |
| 35919005 | Pervasive developmental disorder (disorder) |
| 373618009 | Autistic spectrum disorder with isolated skills (disorder) |
| 39951000119105 | Pervasive developmental disorder of residual state (disorder) |
| 408856003 | Autistic disorder (disorder) |
| 408857007 | Infantile autism (disorder) |
| 43614003 | Autistic disorder of childhood onset (disorder) |
| 442314000 | Active but odd autism (disorder) |
| 71961003 | Childhood disintegrative disorder (disorder) |
Required Data Elements for the Numerator:
This is captured for patients ages 12 – 17 by completing the PHQ9-Modified for Teenagers panel, or for patients 17 and older by completing the Quick Depression Assessment Panel (PHQ9), via the Screening widget.
PHQ9-Modified for Teenagers:
Quick Depression Assessment Panel (PHQ9):
Definitions:
Denominator Identification Period: The period in which eligible patients can have an index event. The denominator identification period occurs prior to the measurement period and is defined as 14 months to two months prior to the start of the measurement period. For patients with an index event, there needs to be enough time following index for the patients to have the opportunity to reach remission twelve months +/- 60 days after the index event date.
Index Event Date: The date in which the first instance of elevated PHQ-9 or PHQ-9M greater than nine and diagnosis of depression or dysthymia occurs during the denominator identification measurement period. Patients may be assessed using PHQ-9 or PHQ-9M on the same date or up to 7 days prior to the encounter (index event).
Measure Assessment Period: The index event date marks the start of the measurement assessment period for each patient which is 14 months (12 months +/- 60 days) in length to allow for a follow-up PHQ-9 or PHQ-9M between 10 and 14 months following the index event. This assessment period is fixed and does not start over with a higher PHQ-9 or PHQ-9M that may occur after the index event date.
Remission is defined as a PHQ-9 or PHQ-9M score of less than five.
Twelve months is defined as the point in time from the index event date extending out twelve months and then allowing a grace period of sixty days prior to and sixty days after this date. The most recent PHQ-9 or PHQ-9M score less than five obtained during this four month period is deemed as remission at twelve months, values obtained prior to or after this period are not counted as numerator compliant (remission).