2016 PQRS Measure #370: Depression Remission at Twelve Months


Adult patients age 18 and older with major depression or dysthymia and an initial PHQ-9 score > 9 who demonstrate remission at twelve months defined as PHQ-9 score less than 5. This measure applies to both patients with newly diagnosed and existing depression whose current PHQ-9 score indicates a need for treatment


This measure is to be reported once per reporting period for patients seen during the denominator identification measurement period with a diagnosis of depression and an initial PHQ-9 greater than nine. This measure may be reported by clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding.

NOTE: To be considered denominator eligible for this measure, the patient must have both the diagnosis of depression or dysthymia and an index date PHQ-9 Score greater than 9 documented during the dates of denominator identification measurement period (12/1/2014 to 11/30/2015.)


Adults age 18 and older with a diagnosis of major depression or dysthymia and an initial PHQ-9 score greater than nine during an outpatient encounter

Index Date- The first instance (12/1/2014 to 11/30/2015) of elevated PHQ-9 greater than 9 and diagnosis of depression or dysthymia

Diagnosis for MDD (ICD-10-CM): F32.0, F32.1, F32.2, F32.3, F32.4, F32.5, F32.9, F33.0, F33.1, F33.2, F33.3, F33.40, F33.41, F33.42, F33.9, F34.1
Patient encounter during the reporting period (CPT or HCPCS): 90791, 90792, 90832, 90834, 90837, 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, G0402, G0438, G0439
Index Date PHQ-9 Score greater than 9 documented during the twelve month denominator identification period: G9511
Patients who died
Patients who received hospice or palliative care service
Patients who were permanent nursing home residents
Patients with a diagnosis of bipolar disorder
Patients with a diagnosis of personality disorder


Adults who achieved remission at twelve months as demonstrated by a twelve month (+/- 30 days) PHQ-9 score of less than five

Remission - a PHQ-9 score of less than five.
Twelve Months - the point in time from the index date extending out twelve months (+/- 30 days). The most recent PHQ-9 score within twelve months +/- 30 days (11 to 13 months after index) that is less than five is deemed as remission at twelve months. Scores obtained prior to or after this period are not counted as numerator compliant (remission).

Numerator Options:
Performance Met: Remission at twelve months as demonstrated by a twelve month (+/-30 days) PHQ-9 score of less than 5 (G9509)

Performance Not Met: Remission at twelve months not demonstrated by a twelve month (+/-30 days) PHQ-9 score of less than five. Either PHQ-9 score was not assessed or is greater than or equal to 5 (G9510)
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Depression Remission at Twelve Months

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