CMS 161 - Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

Overview

CMS161v8 (2020)

CMS161v9 (2021)

CMS161v10 (2022)

Identifiers

CMS eCQM IDNQF eCQM IDNQFMIPS Quality ID
CMS161v100104e107

*MIE only supports data collection and reporting using eCQM specifications

Definitions

DescriptionAll patient visits during which a new diagnosis of MDD or a new diagnosis of recurrent MDD was identified for patients aged 18 years and older with a suicide risk assessment completed during the visit
Initial Patient PopulationPatient visits during which a new diagnosis of MDD, single or recurrent episode, was identified
DenominatorEquals Initial Population
Denominator Exclusions
NumeratorPatient visits during which a new diagnosis of MDD, single or recurrent episode, was identified and a suicide risk assessment was completed during the visit
Numerator Exclusions
Denominator Exceptions

Additional Information

Measure TypeProcess measure
Measure ScoringProportion measure
GranularityEpisode of MDD
Improvement NotationHigher score indicates better quality
DomainEffective Clinical Care

Clinical Instructions

New UI Visit Encounter (valid RC202109+)

Original Visit Encounter

Evidence

Initial Patient Population

NameValue Set
Diagnosis: Major Depressive Disorder-Active2.16.840.1.113883.3.526.3.1491
Encounter, Performed: Emergency Department Visit2.16.840.1.113883.3.464.1003.101.12.1010
Encounter, Performed: Office Visit2.16.840.1.113883.3.464.1003.101.12.1001
Encounter, Performed: Outpatient Consultation2.16.840.1.113883.3.464.1003.101.12.1008
Encounter, Performed: Psych Visit - Diagnostic Evaluation2.16.840.1.113883.3.526.3.1492
Encounter, Performed: Psych Visit - Psychotherapy2.16.840.1.113883.3.526.3.1496
Encounter, Performed: Psychoanalysis2.16.840.1.113883.3.526.3.1141
Encounter, Performed: Telehealth Services2.16.840.1.113883.3.464.1003.101.12.1031

Numerator

NameValue Set
Intervention, Performed: Suicide risk assessment (procedure)SNOMEDCT Code 225337009

Source(s)

eCQI CMS161


WebChart Documentation

Last Updated:

Last Build: Thu, 18 Apr 2024 10:10:30 EDT
WikiGDrive Version: dd69069d725fca5f553df7ded62e130a49d49ca6