| Measure Type | High Priority Measure? | NQS Domain |
|---|---|---|
| Process | No | Effective Clinical Care |
| Data Submission Method(s) | ||
| Registry | ||
Measure Description
Percentage of all patients with a diagnosis of ParkinsonÕs Disease [PD] who were assessed* for psychiatric symptoms** in the past 12 months
Instructions
This measure is to be submitted a minimum of once per performance period for patients with a diagnosis of Parkinson’s Disease seen during the performance period. This measure may be submitted by eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding.
Measure Submission:
The listed denominator criteria is used to identify the intended patient population. The numerator options included in this specification are used to submit the quality actions allowed by the measure. The quality-data codes listed do not need to be submitted for registry submissions; however, these codes may be submitted for those registries that utilize claims data.
Denominator
All patients regardless of age with a diagnosis of PD
Denominator Criteria (Eligible Cases):
All Patients regardless of age
AND
Diagnosis for Parkinson’s disease (ICD-10-CM): G20
AND
Patient encounter during the performance period (CPT): 99201, 99202, 99203, 99204, 99205, 99212, 99213,99214, 99215, 99221, 99222, 99223, 99231, 99232, 99233, 99238, 99239, 99251, 99252, 99253, 99254, 99255, 99304, 99305, 99306, 99307, 99308, 99309, 99310
WITHOUT
Telehealth Modifier: GQ, GT, 95, POS 02
Numerator
Patients with a diagnosis of PD who were assessed* for psychiatric symptoms** in the past 12 months.
Numerator Instructions:
- Assessed is a verbal discussion. Please see “Opportunity for Improvement” section below for suggestions on possible screening tools.
- Psychiatric symptoms defined as: psychosis (i.e., hallucinations and delusions), depression, anxiety disorder, apathy, AND Impulse Control Disorder (i.e., gambling, hypersexual activity, binge eating, increased spending).
NUMERATOR NOTE: The 12 month look back period is defined as 12 months from the date of the denominator eligible encounter.
Numerator Options:
Performance Met:
Psychiatric symptoms assessed (G9742)
OR
Performance Not Met:
Psychiatric symptoms not assessed, reason not otherwise specified (G9743)