2018 MIPS Measure #290: Parkinson’s Disease: Psychiatric Symptoms Assessment for Patients with Parkinson’s Disease

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)

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