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CMS160v5 Code List

Code List: CMS160v5, Depression Utilization of the PHQ-9 Tool

MicroMD uses the following code lists to determine a patient’s inclusion in this measure.  To search for your code, simply press Ctrl + F on your keyboard, enter your code in the search field and press Enter on your keyboard.

ItemCodes
Encounter Codes
Encounter, Performed: Office Visit: CPT99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215
Encounter, Performed: Face to Face Interaction – No ED12843005, 18170008, 185349003, 185463005, 185465003, 19681004, 207195004, 270427003, 270430005, 308335008, 390906007, 406547006, 439708006, 87790002, 90526000
Encounter, Performed: Psych Visit: CPT90791, 90792, 90832, 90834, 90837
Diagnosis Codes
Diagnosis: Major Depression Including Remission: ICD-9296.20, 296.21, 296.22, 296.23, 296.24, 296.25, 296.26, 296.30, 296.31, 296.32, 296.33, 296.34, 296.35, 296.36
Diagnosis: Major Depression Including Remission: ICD-10F32.0, 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
Diagnosis: Major Depression Including Remission: SNOMED832007, 2618002, 14183003, 15193003, 15639000, 18818009, 19527009, 20250007, 25922000, 28475009, 30605009, 33078009, 33135002, 33736005, 36474008, 36923009, 38694004, 39809009, 40379007, 42810003, 42925002, 46244001, 60099002, 63412003, 63778009, 66344007, 68019004, 69392006, 70747007, 71336009, 73867007, 75084000, 76441001, 77911002, 79298009, 87512008, 191601008, 191602001, 191604000, 191606003, 191610000, 191611001, 191613003, 191615005, 231499006, 268620009, 268621008, 274948002, 300706003, 319768000, 320751009, 321717001, 370143000, 430852001, 450714000, 251000119105, 281000119103
Diagnosis: Dysthymia: ICD-9300.4
Diagnosis: Dysthymia: ICD-10F34.1
Diagnosis: Dysthymia: SNOMED19694002, 2506003, 3109008, 36170009, 38451003, 67711008, 78667006, 83176005, 85080004
Risk Assessment LOINC Codes
Risk Category Assessment: PHQ-9 Tool: LOINC44249-1, 44257-4, 44261-6, 54635-8
Exclusion Diagnosis Codes
Diagnosis: Bipolar Disorder: ICD-9296.00, 296.01, 296.02, 296.03, 296.04, 296.05, 296.06, 296.10, 296.11, 296.12, 296.13, 296.14, 296.15, 296.16, 296.40, 296.41, 296.42, 296.43, 296.44, 296.45, 296.46, 296.50, 296.51, 296.52, 296.53, 296.54, 296.55, 296.56, 296.60, 296.61, 296.62, 296.63, 296.64, 296.65, 296.66, 296.7, 296.80, 296.81, 296.82, 296.89
Diagnosis: Bipolar Disorder: ICD-10F30.10, F30.11, F30.12, F30.13, F30.2, F30.3, F30.4, F30.8, F30.9, F31.0, 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
Diagnosis: Bipolar Disorder: SNOMED10875004, 10981006, 111485001, 1196001, 12969000, 13313007, 13581000, 13746004, 14495005, 1499003, 162004, 16295005, 16506000, 17782008, 191618007, 191620005, 191621009, 191623007, 191625000, 191627008, 191629006, 191630001, 191632009, 191634005, 191636007, 191638008, 191639000, 191641004, 191643001, 192362008, 19300006, 20960007, 21900002, 22121000, 22407005, 26203008, 26530004, 28663008, 28884001, 29929003, 30520009, 30687003, 30935000, 31446002, 33380008, 34315001, 3530005, 35481005, 35722002, 35846004, 36583000, 371596008, 371599001, 371600003, 371604007, 40926005, 41552001, 41832009, 41836007, 43568002, 43769008, 4441000, 45479006, 46229002, 48937005, 49468007, 49512000, 51637008, 53049002, 53607008, 54761006, 55516002, 5703000, 59617007, 61403008, 63249007, 64731001, 65042007, 66631006, 67002003, 68569003, 70546001, 71294008, 71984005, 73471000, 74686005, 75360000, 75752004, 78269000, 78640000, 79584002, 81319007, 82998009, 83225003, 85248005, 86058007, 87203005, 87950005, 9340000
Diagnosis: Personality Disorder: ICD-9301.0, 301.10, 301.11, 301.12, 301.13, 301.20, 301.21, 301.22, 301.3, 301.4, 301.50, 301.51, 301.59, 301.6, 301.7, 301.81, 301.82, 301.83, 301.84, 301.89, 301.9
Diagnosis: Personality Disorder: ICD-10F21, F34.0, F60.0, F60.1, F60.2, F60.3, F60.4, F60.5, F60.6, F60.7, F60.81, F60.89, F60.9, F68.10, F68.11, F68.12, F68.13
Diagnosis: Personality Disorder: SNOMED13601005, 1376001, 16805009, 191753006, 191765005, 191766006, 191772006, 191773001, 191774007, 20010003, 231525006, 231527003, 26665006, 268633003, 268634009, 31027006, 33449004, 37746008, 4306003, 442245003, 44966003, 52954000, 55341008, 80711002, 83890006, 84466009
Palliative Care Codes
Intervention, Order: Palliative Care: SNOMED103735009, 385763009
Exclusion Encounter Codes
Encounter, Performed: Care Services in Long-Term Residential Facility: CPT99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337