Reminder of proper depression screening coding

Date: 06/20/23

Depression screening and follow-up visits for adolescents and adults is a component of HEDIS® measures for our Commercial, Marketplace, Medicaid, and Medicare lines of business. Proper coding of this measure ensures that any gaps in care are closed.

To support you in providing appropriate coding and documentation, our plan will pay $0.01 for the HCPCS codes listed below. This will allow the billing of necessary codes without the denial of non-payable codes.

The following codes should be billed on all claims and encounters when applicable:

Code	Reason
G8431	Screening for depression is documented as positive, and a follow-up plan is documented.
G8510	Screening for depression is documented as negative, and a follow-up plan is not required.

For more information about these and other quality measures, visit our For Providers page.