M1019 – Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5

Long description

Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5

Short description

Adl pt mj dep ds rs 12 phq<5

Pricing indicator

00 Not separately priced by Part B (bundled, not covered or Part A only)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

Z2 Undefined codes

Added

January 1, 2019

Last change

January 1, 2019 – No change

Nearby M codes

• M1011 – Discharge/discontinuation of the episode of care documented in the medical record
• M1012 – Discharge/discontinuation of the episode of care documented in the medical record
• M1013 – Discharge/discontinuation of the episode of care documented in the medical record
• M1014 – Discharge/discontinuation of the episode of care documented in the medical record
• M1015 – Discharge/discontinuation of the episode of care documented in the medical record
• M1016 – Female patients unable to bear children
• M1017 – Patient admitted to palliative care services
• M1018 – Patients with an active diagnosis or history of cancer (except basal cell and squamous cell skin carcinoma), patients who are heavy tobacco smokers, lung cancer screening patients
• M1020 – Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq-9 or phq-9m score was not assessed or is greater than or equal to 5
• M1021 – Patient had only urgent care visits during the performance period
• M1022 – Patients who were in hospice at any time during the performance period
• M1023 – Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five
• M1024 – Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at six months as demonstrated by a six month (+/-60 days) phq-9 or phq-9m score of less than five. either phq-9 or phq-9m score was not assessed or is greater than or equal to five
• M1025 – Patients who were in hospice at any time during the performance period
• M1026 – Patients who were in hospice at any time during the performance period
• M1027 – Imaging of the head (ct or mri) was obtained