QPP Measure #134
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
The following codes apply for this QPP measure:
CPT Codes | |||
| Code | Description | ||
|---|---|---|---|
| 59400 | CPT Code | ||
| 59510 | CPT Code | ||
| 59610 | CPT Code | ||
| 59618 | CPT Code | ||
| 90791 | CPT Code | ||
| 90792 | CPT Code | ||
| 90832 | CPT Code | ||
| 90834 | CPT Code | ||
| 90837 | CPT Code | ||
| 92625 | CPT Code | ||
| 96116 | CPT Code | ||
| 96118 | CPT Code | ||
| 96150 | CPT Code | ||
| 96151 | CPT Code | ||
| 97165 | CPT Code | ||
| 97166 | CPT Code | ||
| 97167 | CPT Code | ||
| 99201 | CPT Code | ||
| 99202 | CPT Code | ||
| 99203 | CPT Code | ||
| 99204 | CPT Code | ||
| 99205 | CPT Code | ||
| 99212 | CPT Code | ||
| 99213 | CPT Code | ||
| 99214 | CPT Code | ||
| 99215 | CPT Code | ||
| 99384 | CPT Code | ||
| 99385 | CPT Code | ||
| 99386 | CPT Code | ||
| 99387 | CPT Code | ||
| 99394 | CPT Code | ||
| 99395 | CPT Code | ||
| 99396 | CPT Code | ||
| 99397 | CPT Code | ||
HCPCS Codes | |||
| Code | Description | ||
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | ||
| 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 | ||
| G0444 | Annual depression screening, 5 to 15 minutes | ||
| G0502 | Initial psychiatric collaborative care management, first 70 minutes in the first calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements: outreach to and engagement in treatment of a patient directed by the treating physician or other qualified health care professional; initial assessment of the patient, including administration of validated rating scales, with the development of an individualized treatment plan; review by the psychiatric consultant with modifications of the plan if recommended; entering patient in a registry and tracking patient follow-up and progress using the registry, with appropriate documentation, and participation in weekly caseload consultation with the psychiatric consultant; and provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies | ||
| G0503 | Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements: tracking patient follow-up and progress using the registry, with appropriate documentation; participation in weekly caseload consultation with the psychiatric consultant; ongoing collaboration with and coordination of the patient's mental health care with the treating physician or other qualified health care professional and any other treating mental health providers; additional review of progress and recommendations for changes in treatment, as indicated, including medications, based on recommendations provided by the psychiatric consultant; provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies; monitoring of patient outcomes using validated rating scales; and relapse prevention planning with patients as they achieve remission of symptoms and/or other treatment | ||
| G0504 | Initial or subsequent psychiatric collaborative care management, each additional 30 minutes in a calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional (list separately in addition to code for primary procedure); (use g0504 in conjunction with g0502, g0503) | ||
| G0505 | Cognition and functional assessment using standardized instruments with development of recorded care plan for the patient with cognitive impairment, history obtained from patient and/or caregiver, in office or other outpatient setting or home or domiciliary or rest home | ||
| G0507 | Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales; behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes; facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation; and continuity of care with a designated member of the care team | ||
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | ||
| G8432 | Depression screening not documented, reason not given | ||
| G8433 | Screening for depression not completed, documented patient or medical reason | ||
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | ||
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | ||
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | ||
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