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CMS160v6 Code List

Code List: CMS160v6, 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.

This user-friendly code list is provided as a courtesy to our MicroMD users.  For more in-depth information about codes and/or criteria or to compare version changes, visit the CMS eCQI Resource Center at https://ecqi.healthit.gov/ (no user account required) or the United States Health Information Knowledgebase at https://ushik.ahrq.gov/mdr/portals (requires a free user account to view codes).

Item Codes
Encounter Codes
Encounter, Performed: Office Visit: CPT 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215
Encounter, Performed: Face to Face Interaction – No ED 185349003, 185463005, 185465003, 19681004, 207195004, 270427003, 270430005, 308335008, 390906007, 406547006, 439708006, 90526000
Encounter, Performed: Psych Visit: CPT 90791, 90792, 90832, 90834, 90837
Diagnosis Codes
Diagnosis: Major Depression Including Remission: ICD-10 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
Diagnosis: Major Depression Including Remission: SNOMED 14183003, 15193003, 15639000, 18818009, 191601008, 191602001, 191604000, 191606003, 191610000, 191611001, 191613003, 191615005, 19527009, 20250007, 231499006, 251000119105, 25922000, 2618002, 268620009, 268621008, 274948002, 281000119103, 28475009, 300706003, 30605009, 319768000, 320751009, 321717001, 33078009, 33135002, 33736005, 36474008, 36923009, 370143000, 38694004, 39809009, 40379007, 42810003, 42925002, 430852001, 450714000, 46244001, 60099002, 63412003, 63778009, 66344007, 68019004, 69392006, 70747007, 71336009, 719592004, 720451004, 720452006, 720453001, 720454007, 720455008, 73867007, 75084000, 76441001, 77911002, 79298009, 832007, 87512008
Diagnosis: Dysthymia: ICD-10 F34.1
Diagnosis: Dysthymia: SNOMED 19694002, 2506003, 3109008, 36170009, 38451003, 67711008, 78667006, 83176005, 85080004
Risk Assessment LOINC Codes
Assessment, Performed: PHQ-9 Tool: LOINC 44261-6
Exclusion Diagnosis Codes
Diagnosis: Bipolar Disorder: ICD-9 296.00, 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-10 F30.10, 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: SNOMED 10875004, 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-9 301.0, 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-10 F21, 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: SNOMED 13601005, 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: SNOMED 103735009, 133918004, 182964004, 305284002, 305381007, 305981001, 306237005, 306288008, 385736008, 385763009
Exclusion Encounter Codes
Encounter, Performed: Care Services in Long-Term Residential Facility: CPT 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337
Encounter, Performed: Palliative Care: ICD-10 Z51.5

Last updated: May 15, 2018 at 4:08 pm