icd 9 code for phq-9

Full Answer

What does PHQ-9 stand for?

Patient Health Questionnaire-9 (PHQ-9) - Mental Disorders Screening - National HIV Curriculum Patient Health Questionnaire-9 (PHQ-9) Share The PHQ-9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. Over the last 2 weeks, how often have you been bothered by the following problems?

Which diagnostic status is assigned to patients with PHQ-9 intervals?

For analyses assessing the operating characteristics of various PHQ-9 intervals or cut points, diagnostic status (major depressive disorder, other depressive disorder, or no depressive disorder) was that assigned by the independent MHP structured psychiatric interview.

Does one bill for PHQ-2 and if so what CPT code?

Does one bill for the PHQ-2 and if so what cpt code is used? We currently only bill for the PHQ-9 assessment with cpt code 96127. PHQ-2 is not billable. It takes a few seconds to do so will never get close to the minimum 8 minutes into the 15 min needed to report a code.

What is a good PHQ-9 score?

Interpretation of these likelihood ratios means that, for example, a PHQ-9 score in the 0–4 ranges is only 0.04 (i.e., 1/25) times as likely in a patient with major depression compared to a patient without major depression, while a score of 10 to 14 is 2.6 times as likely and a score of 15 to 19 is 8.4 times as likely.

Can you bill for a PHQ-9?

CPT Code 96127 (brief emotional /behavioral assessment) can be billed for a variety of screening tools, including the PHQ-9 for depression, as well as other standardized screens for ADHD, anxiety, substance abuse, eating disorders, suicide risk • For depression, use in conjunction with the ICD-10 diagnosis code Z13.

How do I bill for PHQ-9 and GAD 7?

Code 96127 can be applied for each standardized test that is administered, scored, and reported. 96127 is billed for each test, it is a timed code stating individual tests can take from 10-45 min to complete.

What diagnosis code is used with 96127?

You should report CPT code 96127, “Brief emotional/behavioral assessment (e.g., depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument,” with one unit for each screening instrument completed, and be sure to document the instruments used ...

Is CPT code 96127 preventive?

Service 96127 is not a preventive service. It is can be billed by specialist only (regarding credentialing list).

How do I bill for CPT code 96127?

If multiple screenings are performed on a date of service CPT 96127 should be reported with the number of test as the number of Units. NOTE: Modifier 25 should be appended to the E/M and modifier 59 should be appended to the 96127 CPT code. For Example: 99214 25.

What is GAD-7 and PHQ-9?

The Patient Health Questionnaire 9-item depression scale (PHQ-9) and 7-item Generalized Anxiety Disorder scale (GAD-7) are among the best validated and most commonly used depression and anxiety measures, respectively.

What is the difference between CPT 96127 and G0444?

What is the difference between CPT 96127 and G0444? 96127 is for use with major medical, or Medicare visits other than the annual wellness visit. G0444 is for use in the Medicare annual wellness visit only.

What is the difference between 96160 and 96127?

Codes 96110, 96160, and 96161 are typically limited to developmental screening and the health risk assessment (HRA). However, code 96127 should be reported for both screening and follow-up of emotional and behavioral health conditions.

What is the diagnosis code for depression and anxiety?

2 Mixed anxiety and depressive disorder.

What is the CPT code for PHQ-2?

CPT code changes for health risk assessments take effect Jan. 1Instrument96127Modified Checklist for Autism in Toddlers (MCHAT)Patient Health Questionnaire (PHQ-2 or PHQ-9)XParents' Evaluation of Developmental Status (PEDS)Pediatric Symptom Checklist (PSC)X14 more rows•Nov 4, 2016

What does CPT code 90791 mean?

integrated biopsychosocial assessmentAccording to the CPT manual, 90791 is an “integrated biopsychosocial assessment, including history, mental status, and recommendations.” The manual goes on to say that the evaluation may include “communication with family or other sources and review and ordering of diagnostic studies.”

How do you code depression screening?

Screening for depression when symptoms ARE present – Use CPT 96127. CPT 96161 is used for administration, scoring, and documentation of a caregiver-focused risk assessment using a standardized instrument, such as screening for maternal depression during a well-child visit. Bill this code using the child's ID number.

What is a PHQ-9?

The Patient Health Questionnaire (PHQ) is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as “0” (not at all) to “3” (nearly every day). The PHQ-9 was completed by 6,000 patients in 8 primary care clinics and 7 obstetrics-gynecology clinics. Construct validity was assessed using the 20-item Short-Form General Health Survey, self-reported sick days and clinic visits, and symptom-related difficulty. Criterion validity was assessed against an independent structured mental health professional (MHP) interview in a sample of 580 patients.

What is the mean PHQ-9 score?

The mean PHQ-9 score was 17.1 (SD, 6.1) in the 41 patients diagnosed by the MHP as having major depression; 10.4 (SD, 5.4) in the 65 patients diagnosed as other depressive disorder; and 3.3 (SD, 3.8) in the 474 patients with no depressive disorder. The vast majority of patients (93%) with no depressive disorder had a PHQ-9 score less than 10, while most patients (88%) with major depression had scores of 10 or greater. Scores less than 5 almost always signified the absence of a depressive disorder; scores of 5 to 9 predominantly represented patients with either no depression or subthreshold (i.e., other) depression; scores of 10 to 14 represented a spectrum of patients; and scores of 15 or greater usually indicated major depression.

How many physicians participated in the PHQ study?

A total of 62 physicians participated in the PHQ Primary Care Study (21 general internal medicine and 41 family practice [19 of who were family practice residents]). Their mean age was 37 years (standard deviation [SD], 6.5), and 63% were male. A total of 40 physicians and 21 nurse practitioners participated in the PHQ Ob-Gyn. Their mean age was 39 years (SD, 8.9), and 48% were male.

How long does it take to review a PHQ-9?

In 85% of cases clinicians required less than 3 minutes to review responses on the full 3-page PHQ,5which consists of 5 modules and 28 to 58 items (depending upon the number of skip-outs). Although time to review the PHQ depression items was not measured separately, it is unlikely this took more than a minute, since the PHQ-9 includes less than one third of the items contained in the full PHQ.

What is the sensitivity of PHQ-9?

Using the MHP reinterview as the criterion standard, a PHQ-9 score ≥10 had a sensitivity of 88% and a specificity of 88% for major depression. PHQ-9 scores of 5, 10, 15, and 20 represented mild, moderate, moderately severe, and severe depression, respectively. Results were similar in the primary care and obstetrics-gynecology samples.

How is construct validity of PHQ-9 assessed?

Construct validity of the PHQ-9 as a measure of depression severity was assessed by examining functional status (the 6 SF-20 scales), disability days, symptom-related difficulty, and health care utilization (clinic visits) over the 5 PHQ-9 intervals. Analysis of covariance was used, with PHQ-9 category as the independent variable and adjusting for age, gender, race, education, study site, and number of physical disorders. Bonferroni's correction was used to adjust for multiple comparisons.

Is PHQ-9 a reliable measure of depression?

In addition to making criteria-based diagnoses of depressive disorders, the PHQ-9 is also a reliable and valid measure of depression severity. These characteristics plus its brevity make the PHQ-9 a useful clinical and research tool.

What is a PHQ-9?

Share The PHQ-9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression.

What is question 9?

Note: Question 9 is a single screening question on suicide risk. A patient who answers yes to question 9 needs further assessment for suicide risk by an individual who is competent to assess this risk.

When will the ICD-10 J93.9 be released?

The 2022 edition of ICD-10-CM J93.9 became effective on October 1, 2021.

What is pneumothorax gas?

Pneumothorax; abnormal presence of air in the pleural cavity resulting in the collapse of the lung.