Wiki Quality ID #134 (NQF 0418): Preventive Care and Screening: Screening for Depression a

[justina.d06@gmail.com]

I want to be sure that I am interpreting this measure correctly.

For Denominator Exclusion the definition:
'Not Eligible for Depression Screening or Follow-Up Plan (Denominator Exclusion) –
• Patient has an active diagnosis of depression prior to any encounter during the measurement period- F01.51, F32.0, F32.1, F32.2, F32.3, F32.4, F32.5, F32.89, F32.9, F33.0, F33.1, F33.2, F33.3, F33.40, F33.41, F33.42, F33.8, F33.9, F34.1, F34.81, F34.89, F43.21, F43.23, F53, O90.6, O99.340, O99.341, O99.342, O99.343, O99.345
• Patient has a diagnosed bipolar disorder prior to any encounter during the measurement period- F31.10, F31.11, F31.12, F31.13, F31.2, F31.30, F31.31, F31.32, F31.4, F31.5, F31.60, F31.61, F31.62, F31.63, F31.64, F31.70, F31.71, F31.72, F31.73, F31.74, F31.75, F31.76, F31.77, F31.78, F31.81, F31.89, F31.9'

'Depression Screening or Follow-Up Plan not Documented, Patient not Eligible
Denominator Exclusion: G9717: Documentation stating the patient has an active diagnosis of depression or has a diagnosed bipolar disorder, therefore screening or follow-up not required

I do not see that I HAVE TO HAVE AN ICD10 CODED PRIOR to any encounter. I see the list of ICD 10 as examples of codes to reference. We screen the patient for Depression as we do provider Narcotics. So if we already have a patient seen in our clinic with a Personal Medical History of Depression or Bioplar disorder can I use G9717, even with out ICD10 being submitted by our office prior to this performance period.

Thank you in advance for your help

Justina L. , CPC, CPB

 

[renee dustman]

The clinical diagnosis of depression must be documented in history. And unless the patient no longer suffers from depression, the applicable ICD-10 code should continue to be reported.