QCDR Name: MBHR Mental and Behavioral Health Registry
Description: The percentage of adult patients (18 years of age or older) with an anxiety disorder (generalized anxiety disorder, social anxiety disorder, post-traumatic stress disorder, or panic disorder) who demonstrated a response to treatment at six months (+/- 60 days) after an index visit
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
Denominator: Adult patients (18 years of age or older) with an anxiety disorder (generalized anxiety disorder, social anxiety disorder, post-traumatic stress disorder, or panic disorder) and an initial (index) GAD-7 score of 8 or higher.
(ICD-10-CM): F40.1 Social phobias
F40.10 Social phobia, unspecified
F40.11 Social phobia, generalized
F41.0 Panic disorder without agoraphobia
F41.1 Generalized anxiety disorder
F41.3 Other mixed anxiety disorders
F41.8 Other specified anxiety disorders
F41.9 Anxiety disorder unspecified
F43.1 Post-traumatic stress disorder (PTSD)
F43.10 Post-traumatic stress disorder, unspecified
F43.11 Post-traumatic stress disorder, acute
F43.12 Post-traumatic stress disorder, chronic
Patient encounter during the performance period (CPT or HCPCS): 90791, 90792, 90832, 90834, 90837, 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, G0402, G0438, G0439
Denominator Exceptions: none
Denominator Exclusions: Patients who die, are a permanent resident of a nursing home or are enrolled in hospice are excluded from this measure. Additionally, patients who have a diagnosis of schizophrenia or psychotic disorder.
F20.0 Paranoid schizophrenia,
F20.1 Disorganized schizophrenia,
F20.2 Catatonic schizophrenia,
F20.3 Undifferentiated schizophrenia,
F20.5 Residual schizophrenia,
F2081 Schizophreniform disorder,
F20.89 Other schizophrenia,
F20.9 Schizophrenia, unspecified,
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 psychotic disorder not due to a substance or known physiological condition