CMS 177 - Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment

Overview

CMS177v8 (2020)

CMS177v9 (2021)

CMS177v10 (2022)

Identifiers

CMS eCQM IDNQF eCQM IDNQFMIPS Quality ID
CMS177v101365e382

*MIE only supports data collection and reporting using eCQM specifications

Definitions

DescriptionPercentage of patient visits for those patients aged 6 through 17 years with a diagnosis of major depressive disorder with an assessment for suicide risk
Initial Patient PopulationAll patient visits for those patients aged 6 through 17 years with a diagnosis of major depressive disorder
DenominatorEquals Initial Population
Denominator Exclusions
NumeratorPatient visits with an assessment for suicide risk
Numerator Exclusions
Denominator Exceptions

Additional Information

Measure TypeProcess measure
Measure ScoringProportion measure
GranularityEpisode of MDD
Improvement NotationHigher score indicates better quality
DomainPatient Safety

Clinical Instructions

New UI Visit Encounter (valid RC202109+)

Original Visit Encounter

Evidence

Initial Patient Population

NameValue Set
Diagnosis: Major Depressive Disorder-Active2.16.840.1.113883.3.526.3.1187
Encounter, Performed: Group Psychotherapy2.16.840.1.113883.3.464.1003.101.12.1010
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 - Family Psychotherapy2.16.840.1.113883.3.526.3.1018
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 CMS177


WebChart Documentation

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