2021 MIPS Measure #291: Parkinson’s Disease: Cognitive Impairment or Dysfunction Assessment for Patients with Parkinson’s Disease

Measure Description

Percentage of all patients with a diagnosis of Parkinson’s Disease [PD] who were assessed for cognitive impairment or dysfunction once 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 Merit-based Incentive Payment System (MIPS) eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding.

NOTE: Patient encounters for this measure conducted via telehealth (e.g., encounters coded with GQ, GT, 95, or POS 02 modifiers) are allowable.

Measure Submission Type:

Measure data may be submitted by individual MIPS eligible clinicians, groups, or third party intermediaries. The listed denominator criteria are used to identify the intended patient population. The numerator options included in this specification are used to submit the quality actions as allowed by the measure. The quality-data codes listed do not need to be submitted by MIPS eligible clinicians, groups, or third party intermediaries that utilize this modality for submissions; however, these codes may be submitted for those third party intermediaries that utilize Medicare Part B claims data. For more information regarding Application Programming Interface (API), please refer to the Quality Payment Program (QPP) website.

Denominator

All patients with a diagnosis of Parkinson’s Disease

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): 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99221, 99222, 99223, 99231, 99232, 99233, 99238, 99239, 99241*, 99242*, 99243*, 99244*, 99245*, 99251*, 99252*, 99253*, 99254*, 99255*, 99304, 99305, 99306, 99307, 99308, 99309, 99310

DENOMINATOR NOTE: *Signifies that this CPT Category I code is a non-covered service under the Medicare Part B Physician Fee Schedule (PFS). These non-covered services should be counted in the denominator population for MIPS CQMs.

Numerator

NUMERATOR:

All patients with a diagnosis of Parkinson’s Disease who were assessed for cognitive impairment or dysfunction once in the past 12 months

Numerator Instructions:

*Assessed is defined as use of a screening tool or referral to neuropsychologist for testing.

Screening tools approved for use in this measure include: (1)

• Mini-Mental Status Examination (MMSE)(2,3)
• Montreal Cognitive Assessment (MoCA)(2,3)
• Dementia Rating Scale (DRS-2)
• Parkinson’s Disease Dementia – Short Screen (PDD-SS)
• Parkinson Neuropsychiatric Dementia Assessment (PANDA)
• Parkinson’s Disease- Cognitive Rating Scale (PD-CRS)
• Scales for Outcomes of Parkinson’s Disease – Cognition (SCOPA- Cog)

NUMERATOR NOTE: To meet performance, the cognitive impairment or dysfunction assessment should occur within the previous 12 months from denominator eligible encounter.

Numerator Options:

Performance Met:

Cognitive impairment or dysfunction assessed (3720F)

OR

Performance Not Met:

Cognitive impairment or dysfunction was not assessed, reason not otherwise specified (3720F with 8P)