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

Overview

CMS177v8 (2020)

CMS177v9 (2021)

CMS177v10 (2022)

Identifiers

CMS eCQM ID NQF eCQM ID NQF MIPS Quality ID
CMS177v10 1365e 382

*MIE only supports data collection and reporting using eCQM specifications

Definitions

Description Percentage 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 Population All patient visits for those patients aged 6 through 17 years with a diagnosis of major depressive disorder
Denominator Equals Initial Population
Denominator Exclusions
Numerator Patient visits with an assessment for suicide risk
Numerator Exclusions
Denominator Exceptions

Additional Information

Measure Type Process measure
Measure Scoring Proportion measure
Granularity Episode of MDD
Improvement Notation Higher score indicates better quality
Domain Patient Safety

Clinical Instructions

New UI Visit Encounter (valid RC202109+)

Original Visit Encounter

Evidence

Initial Patient Population

Name Value Set
Diagnosis: Major Depressive Disorder-Active 2.16.840.1.113883.3.526.3.1187
Encounter, Performed: Group Psychotherapy 2.16.840.1.113883.3.464.1003.101.12.1010
Encounter, Performed: Office Visit 2.16.840.1.113883.3.464.1003.101.12.1001
Encounter, Performed: Outpatient Consultation 2.16.840.1.113883.3.464.1003.101.12.1008
Encounter, Performed: Psych Visit - Diagnostic Evaluation 2.16.840.1.113883.3.526.3.1492
Encounter, Performed: Psych Visit - Family Psychotherapy 2.16.840.1.113883.3.526.3.1018
Encounter, Performed: Psych Visit - Psychotherapy 2.16.840.1.113883.3.526.3.1496
Encounter, Performed: Psychoanalysis 2.16.840.1.113883.3.526.3.1141
Encounter, Performed: Telehealth Services 2.16.840.1.113883.3.464.1003.101.12.1031

Numerator

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

Source(s)

eCQI CMS177

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Published: April 29, 2022