Overview 
CMS177v8
(2020)
CMS177v9
(2021)
CMS177v10
(2022)
Identifiers 
| CMS eCQM ID | NQF eCQM ID | NQF | MIPS Quality ID | 
| CMS177v10 | 1365e | – | 382 | 
*MIE only supports data collection and reporting using eCQM specifications
Definitions 
| Description | Percentage of patient visits for those patients aged 6 through 17 years with a diagnosis of major depressive disorder with an assessment for suicide risk | 
| Initial Patient Population | All patient visits for those patients aged 6 through 17 years with a diagnosis of major depressive disorder | 
| Denominator | Equals Initial Population | 
| Denominator Exclusions | – | 
| Numerator | Patient visits with an assessment for suicide risk | 
| Numerator Exclusions | – | 
| Denominator Exceptions | – | 
| Measure Type | Process measure | 
| Measure Scoring | Proportion measure | 
| Granularity | Episode of MDD | 
| Improvement Notation | Higher score indicates better quality | 
| Domain | Patient Safety | 
Clinical Instructions 
New UI Visit Encounter (valid RC202109+) 
Original Visit Encounter 
Evidence 
Initial Patient Population 
| Name | Value Set | 
| Diagnosis: Major Depressive Disorder-Active | 2.16.840.1.113883.3.526.3.1187 | 
| Encounter, Performed: Group Psychotherapy | 2.16.840.1.113883.3.464.1003.101.12.1010 | 
| Encounter, Performed: Office Visit | 2.16.840.1.113883.3.464.1003.101.12.1001 | 
| Encounter, Performed: Outpatient Consultation | 2.16.840.1.113883.3.464.1003.101.12.1008 | 
| Encounter, Performed: Psych Visit - Diagnostic Evaluation | 2.16.840.1.113883.3.526.3.1492 | 
| Encounter, Performed: Psych Visit - Family Psychotherapy | 2.16.840.1.113883.3.526.3.1018 | 
| Encounter, Performed: Psych Visit - Psychotherapy | 2.16.840.1.113883.3.526.3.1496 | 
| Encounter, Performed: Psychoanalysis | 2.16.840.1.113883.3.526.3.1141 | 
| Encounter, Performed: Telehealth Services | 2.16.840.1.113883.3.464.1003.101.12.1031 | 
Numerator 
| Name | Value Set | 
| Intervention, Performed: Suicide risk assessment (procedure) | SNOMEDCT Code 225337009 | 
Source(s) 
eCQI CMS177