2023 # MBHR02 Anxiety Response at 6-months

Measure Title: Anxiety Response at 6-months

Description: The percentage of adult patients (18 years of age or older) with an anxiety disorder (e.g., generalized anxiety disorder, social anxiety disorder, or panic disorder) who demonstrated a response to treatment (GAD-7 score at least 25% less than score at index event) at 6-months (+/- 60 days) after an index visit.

To see additional details, please view the workflow diagram for this measure:View diagram

This measure relies on the GAD-7 assessment tool, which can be foundhere.

Denominator: 

Patients aged ≥ 18 years on date of encounter
AND
Diagnosis of anxiety disorder (generalized anxiety disorder, social anxiety disorder, or panic disorder) ICD-10-CM: F40.1, F40.10, F40.11, F41.0, F41.1, F41.3, F41.8, F41.9, F43.1

AND

CPT:
0362T, 0373T, 90785, 90791, 90792, 90832,90833, 90834, 90836, 90837, 90838, 90839, 90840, 90845, 90846, 90847, 90849, 90853, 90863, 90875, 90876, 96110, 96112, 96113, 96116, 96121, 96127, 96130, 96131, 96132, 96133, 96136, 96137, 96138, 96139, 96146, 96156, 96158, 96159, 96164, 96165, 96167, 96170, 96171, 96178, 97129, 97130, 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 98966, 98967, 98968, 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215,99354,  99355, 99406, 99407, 99408, 99409, 99446, 99447, 99448, 99449, 99484, 99492, 99493, 99494, G2011, G2061, G2062, G2063, G0396, G0397, G0402, G0438, G0439  

AND

GAD-7 administered at index visit, with an observed score >=8

AND
GAD-7 administered at follow-up visit within 6- months (+/- 60 days) of index

Numerator: The number of patients in the denominator who demonstrated a response to treatment, with a GAD-7 result that is reduced by 25% or greater from the index GAD-7 score, six months (+/- 60 days) after an index visit.

NOTE: The numerator will calculate if the patient demonstrated a response to treatment with a GAD-7 result that is reduced by 25% or greater from the index GAD-7 score, 6- months (+/- 60 days) after index visit. 

Denominator Exclusions: 

• Patients who die OR
  • Are enrolled in hospice OR
  • Are unable to complete an anxiety measure due to cognitive deficit, visual deficit, motor deficit, language barrier, or low reading level, AND a suitable recorder (e.g., advocate) is not available OR
  • Are diagnosed with schizophrenia or psychotic spectrum disorder OR are diagnosed with a personality disorder (ICD-10-CM)
  F20.0 – Paranoid schizophrenia
  F20.1 – Disorganized schizophrenia
  F20.2 – Catatonic schizophrenia
  F20.3 – Undifferentiated schizophrenia
  F20.5 – Residual schizophrenia
  F20.81 – Schizophreniform disorder
  F20.89 – Other schizophrenia
  F20.9 – Schizophrenia, unspecified
  F22 – Delusional Disorder
  F23 – Brief psychotic disorder
  F25.0 – Schizoaffective disorder, bipolar type
  F25.1 – Schizoaffective disorder, depressive type
  F25.8 – Other schizoaffective disorders
  F25.9 – Schizoaffective disorder, unspecified
  F28 – Other Specified Schizophrenia Spectrum and Other Psychotic Disorder
  F29 – Unspecified Schizophrenia Spectrum and Other Psychotic Disorder
  F21 – Schizotypal Personality Disorder
  F60.0 – Paranoid Personality Disorder
  F60.1 – Schizoid Personality Disorder
  F60.2 – Antisocial Personality Disorder
  F60.3 – Borderline Personality Disorder
  F60.4 – Histrionic Personality Disorder
  F60.5 – Obsessive-Compulsive Personality Disorder
  F60.6 – Avoidant Personality Disorder
  F60.7 – Dependent Personality Disorder
  F60.81 – Narcissistic Personality Disorder
  F60.89 – Other Specified Personality Disorder
  F60.9 – Unspecified Personality Disorder

Denominator Exceptions: 

• Ongoing care not indicated (e.g., referred to another provider or facility, consultation only) OR
• Patient self-discharged early (e.g., financial or insurance reasons, transportation problems, or reason unknown) OR
• Medical reasons (e.g., scheduled for surgery or hospitalized)

National Quality Forum (NQF) number, if applicable
N/A

Care setting(s) 
Ambulatory Care: Clinician Office/Clinic; Ambulatory Care: Hospital; Home Care; Hospital; Hospital Inpatient; Hospital Outpatient; Long Term Care; Nursing Home; Outpatient Services; Rehabilitation Facility; Rehabilitation Facility: Inpatient

Telehealth, if applicable
Yes

Number of performance rates required for measures
1

Traditional vs. inverse measure
Traditional

Proportional, continuous variable, and/or ratio measure indicator
Proportional

Risk adjustment, if applicable
No

Submission pathway 
Traditional MIPS