Measure 134: Preventive Care and Screening: Screening for Depression and Follow-Up Plan

This is a guide for 1.0 measure reporting. For 2.0 measure reporting, click here.

Depression is a serious medical illness associated with higher rates of chronic disease, increased health care utilization, and impaired functioning (Pratt, Brody 2014). U.S. survey data (2014) indicates that 2.8 million (11.4 percent) adolescents aged 12 to 17 had a major depressive episode (MDE) in the past year and that 15.7 million (6.6 percent) adults aged 18 or older had at least one MDE in the past year.

Who can report this measure?

PTs and OTs can report this measure.

Patient Qualifications

  • Patient age (12 or older)
  • Patient does not have an active diagnosis of depression
  • Patient has not been diagnosed with bipolar disorder
  • Visit type: Initial Evaluation

When do I report on this measure?

Reporting is once per performance period and only when an eligible procedure code is billed.

Eligible Procedure Codes

  • PT: 97161, 97162, 97163
  • OT: 97165, 97166, 97167

Measure Requirements

1) Screen the patient using one of the following Outcome Measurement Tools based on age:

  • 12-17 – Mood and Feeling Questionnaire
  • 18+ – Geriatric Depression Scale

2) If the depression screening is positive, then you must have a follow-up plan that includes details regarding one or more of the following options:

  • Additional evaluation or assessment for depression
  • Suicide Risk Assessment
  • Referral to a practitioner who is qualified to diagnose and treat depression
  • Pharmacological interventions
  • Other interventions or follow-up for the diagnosis or treatment of depression

Measure Specification

You can now report Measure 134 on the MIPS tab when you enter information in the Other Depression Scale data fields in the Objective section of the IE notes. The measure description allows additional flexibility when applying which standardized instrument will be used for depression screening.

For more information on Measure 134, please see the Measure Specification Guide.

Measure Reporting in WebPT

  1. On the Objective Tab, select the correct OMT for the patient based on their age from Measure 134 in the MIPS Measure Tests section. For this example, we’ll select the Geriatric Depression Scale.
  2. In the Outcome Measurement Tools section, select the Yes radio button next to General Function, then Yes for the Geriatric Depression Scale.
  3. Use the Show Test link to enter the patient’s results or simply key them into the entry box.  
  4. If the patient’s answers indicate a positive result, you must complete the Follow-Up Plan field following the guidelines listed above.
  5.  When finished documenting, validate the selection in the MIPS tab. 

Mood and Feeling Instructions

If you are reporting for a patient aged 12-17, you would select the Mood and Feeling Questionnaire in Step 1 above, and then follow the instructions below.

  1. In the Outcome Measurement Tools section, select the Yes radio button next to Pediatrics.
  2. Then, choose the Yes radio button for Mood and Feeling Questionnaire.
  3. Use the Show Test link to enter the patient’s results or simply key them into the entry box. 
  4. If the patient’s answers indicate a positive result, you must complete the Follow-up Plan field following the guidelines listed above.

Other Depression Scale Instructions

If you need additional flexibility when applying which depression screening instrument will be used, you would select the Other Depression Scale in Step 1 above, and then follow the instructions below.

  1. In the Outcome Measurement Tools section, select the Yes radio button next to Other Depression Scale.
  2. Then, enter the Depression Screening Instrument you have selected. For this example, let’s enter Beck Depression Inventory (BDI).
  3. Key the patient’s score in the entry box.
  4. Then, select the appropriate radio box to indicate a negative or positive result.
  5. If the patient’s answers indicate a positive result, you must complete the Follow-Up Plan field following the guidelines listed above.

MIPS Tab: Reporting Selections

In the MIPS tab, the system will automatically select the measure that best fits your documentation. Below, we’ve indicated which selections meet the performance expectations.