Behavioral HealthCommercialApril 1, 2021

The heath of millennials: Trends in behavioral health conditions

The Blue Cross Blue Shield Association recently published an updated study that showed a downward trend in the physical health of millennials (those born between 1981 and 1996) driven largely by behavioral health conditions. There were notable increases in major depression (12%), alcohol use disorder (7%) and tobacco and substance use disorders (5%). 

 

Millennials with behavioral health conditions were at twice the risk of having a chronic physical condition.

The study included the analysis of millennials’ medical claims over a five year period. Those with ongoing behavioral health conditions were twice as likely to have a chronic physical condition as their peers without a behavioral health diagnosis.

 

Behavioral health conditions driving adverse health for millennials

Reprinted from the Blue Cross and Blue Shield Association’s 2019 report on the Health of Millennials.

 

It’s important to follow-up with your patients - millennial, Gen X, Gen Z or baby boomer, who are prescribed antidepressant medications or who have been hospitalized for mental illness or substance use disorders. Not only will members have better behavioral health outcomes, their physical health could be significantly impacted as well. Follow these HEDIS® measures for additional guidance in closing the gaps in behavioral health conditions for all ages.

 

A note about telehealth

NCQA now accepts telehealth codes for behavioral health and some physical health measures. The modifiers 95 and GT are defined as telehealth services rendered via interactive audio and video telecommunications system. CPT codes 90791-90792, 90832-90834, 90836-90838, 90845, 90847, 98960-98962, 99201-99205, 99212-99215, 99231-99233, 99241-99245, 99251-99255, 99307-99310, 99406-99409 and 99495-99496 may be used for reporting synchronous (real-time) telemedicine services when appended by modifier 95.

 

Antidepressant medication management (AMM): The percentage of members 18 years of age and older who were treated with antidepressant medication, had a diagnosis of major depression and who remained on an antidepressant medication treatment. Two rates are reported:

  • Effective Acute Phase Treatment - The percentage of members who remained on an antidepressant medication for at least 84 days (12 weeks).
  • Effective Continuation Phase Treatment - The percentage of members who remained on an antidepressant medication for at least 180 days (6 months).

AMM billing codes:

  • BH outpatient:
    • CPT: 99078, 99201-99205, 99211-99215, 99241-99245, 99341-99345, 99347-99350, 99381-99387, 99391-99397, 99401-99404, 99411-99412, 99510
    • HCPCS: G0155, G0176-G0177, G0409, G0463, H0002, H0004, H0031, H0034-H0037, H0039-H0040, H2000, H2001, H2010-H2011, M0064, T1015
  • Emergency department:
    • CPT: 99281-99285
    • UB Rev: 0450-0452, 0456, 0459, 0981
  • Major depression ICD-10 CM: F32.0-F32.4, F32.9, F33.0-F33.3, F33.41, F33.9
  • Telephone visit CPT: 98966-98968, 99441-99443
  • Telephone modifier value set: 95, GT POS: 02
  • Telehealth: 90791-90792, 90832-90834, 90836-90838, 90845, 90847, 99201-99205, 99212-99215, 99231-99233, 99241-99245, 99251-99255, 98960-98962
  • Telehealth modifier: 95 or GT
  • Telehealth POS: 02

 

Follow-up after hospitalization for mental illness (FUH) - The percentage of discharges for members six (6) years of age and older who were hospitalized for treatment of selected mental illness or intentional self-harm diagnoses and who had a follow-up visit with a mental health practitioner. Two rates are reported:

  • The percentage of discharges for which the member received follow-up within 30 days after discharge.
  • The percentage of discharges for which the member received follow-up within 7 days after discharge.

The follow-up visits within seven (7) days and 30 days after hospitalization can both be telehealth visits. Telephone visits alone do not meet this criterion.

 

FUH billing codes:

  • Follow-up visit:
    • CPT: 90791-90792, 90832-90840, 90845, 90847, 90849, 90853, 90875-90876, 98960-98962, 98966-98968, 99078, 99201-99205, 99211-99215, 99217-99223, 99231-99233, 99238-99239, 99241-99245, 99251-99255, 99341-99345, 99347-99350, 99381-99387, 99391-99397, 99401-99404, 99411-99412, 99441-99443, 99483, 99495-99496, 99510 HCPCS: G0155, G0176-G0177, G0409, G0463, H0002, H0004, H0031, H0034, H0036-H0037, H0039-H0040, H2000, H2010-H2011, H2013-H2020, M0064, T1015
  • Mental illness ICD-10 diagnosis codes: F03.9x, F20-F25.xx, F28-F34.xx, F39-F45.xx, F48.xx, F50-F53.xx, F59-F60.xx, F63-F66.xx, F68-F69.xx, F80-F82.xx, F84.xx, F88-F93.xx, F95.xx, F98-F99.xx
  • Telehealth visits: 90791-90792, 90832-90834, 90836-90838, 90845, 90847, 99201-99205, 99212-99215, 99231-99233, 99241-99245, 99251-99255, 98960-98962
    Telehealth modifier: 95 or GT
    Telehealth POS: 02

 

Follow-up after emergency department visit for mental illness (FUM) - The percentage of emergency department (ED) visits for members 6 years of age and older with a principal diagnosis of mental illness or intentional self-harm, who had a follow-up visit for mental illness. Two rates are reported:

  • The percentage of ED visits for which the member received follow-up within 30 days of the ED visit (31 total days).
  • The percentage of ED visits for which the member received follow-up within 7 days of the ED visit (8 total days).

 

The follow-up visits, within 7 days and 30 days after hospitalization, can both be telehealth visits. Telephone visits alone do not meet this criterion.

 

FUM billing codes:

  • Outpatient follow-up visit:
    • CPT: 90791-90792, 90832-90834, 90836-90840, 90845, 90847, 90849, 90853, 90875-90876, 98960-98962, 98966-98968, 99078, 99201-99205, 99211-99215, 99217-99223, 99231-99233, 99238-99239, 99241-99245, 99251-99255, 99341-99345, 99347-99350, 99381-99387, 99391-99397, 99401-99404, 99411-99412, 99441-99443, 99483, 99495-99496, 99510
    • HCPCS: G0155, G0176-G0177, G0409, G0463, H0002, H0004, H0031, H0034, H0036-H0037, H0039-H0040, H2000, H2010-H2011, H2013-H2020, M0064, T1015
  • Mental illness ICD-10 diagnosis codes:9x, F20-25.xx, F28-34. xx, F39-45.xx, F48.xx, F50-53.xx, F59-60.xx, F63-66.xx, F68-69.xx, F80-82.xx, F84.xx, F88-93.xx, F95.xx, F98-99.xx
  • Intentional self-harm ICD-10 diagnosis code example:92XA
  • Other visits: 90791-90792, 90832-90834, 90836-90838, 90845, 90847, 99201-99205, 99212-99215, 99231-99233, 99241-99245, 99251-99255, 98960-98962
  • Telehealth modifier: 95 or GT
  • Telehealth modifier place of service (POS): 02

 

Follow-up after emergency department visit for alcohol and other drug abuse or dependence (FUA) - The percentage of emergency department (ED) visits for members 13 years of age and older with a principal diagnosis of alcohol or other drug (AOD) abuse or dependence, who had a follow up visit for AOD. Two rates are reported:

  • The percentage of ED visits for which the member received follow-up within 30 days of the ED visit (31 total days).
  • The percentage of ED visits for which the member received follow-up within 7 days of the ED visit (8 total days).

The follow-up visits, within 7 days and 30 days after hospitalization, can both be telehealth visits. Telephone visits alone do not meet this criterion.

 

FUA billing codes:

  • Initiation, engagement and treatment follow-up visit CPT: 98960-98962, 99078, 99201-99205, 99211-99215, 99241-99245, 99341-99350, 99384-99387, 99394-99397, 99401-99404, 99408-99409, 99411-99412, 99483, 99510
  • Alcohol counseling or other follow-up visit:
    • CPT: 99408-99409
    • HCPCS: G0396-G0397, G0443, H0005, H0007, H0016, H0022, H0050, H2035-H2036, T1006, T1012 AOD
  • Medication treatment HCPCS: G2067-G2077, G2080, G2086-G2087, H0020, H0033, J0570, J0571-J0575, J2315, Q9991-Q9992, S0109
  • Substance use disorder ICD-10: F10-16.xx, F18-19.xx
  • Telehealth modifier: 95 or GT
  • Telephone visits: 98966-98968, 99441-99443
  • Other visits: 90791-90792, 90832-90834, 90836-90838, 90845, 90847, 99201-99205, 99212-99215, 99231-99233, 99241-99245, 99251-99255, 99408-99409, 98960-98962
  • Telehealth modifier place of service (POS): 02

 

Follow-up after high-intensity care for substance use disorder (FUI) - The percentage of acute inpatient hospitalizations, residential treatment or detoxification visits for a diagnosis of substance use disorder among members 13 years of age and older that result in a follow-up visit or service for substance use disorder. Two rates are reported:

  • The percentage of visits or discharges for which the member received follow-up for substance use disorder within the 30 days after the visit or discharge.
  • The percentage of visits or discharges for which the member received follow-up for substance use disorder within the 7 days after the visit or discharge.

 

FUI billing codes:

  • Opioid abuse and dependence ICD-10:10, F11.120, F11.121, F11.122, F11.129
  • Other drug abuse and dependence ICD-10:10, F12.120, F12.121, F12.122, F12.129
  • Alcohol abuse and dependence ICD-10:10, F10.120, F10.121, F10.14, F10.150
  • Telephone visit CPT: 98966-98968, 99411-99443
  • Online assessment CPT: 98969-98972, 99421-99423, 99444, 99458
  • IET stand alone visit CPT: 98960-98962, 99201-99205, 99211-99215

 

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA)

 

1Millennial Health: Trends in Behavioral Health Conditions. https://www.bcbs.com/the-health-of-america/reports/millennial-health-trends-behavioral-health-conditions

 

1079-0421-PN-NE

PUBLICATIONS: April 2021 Anthem Connecticut Provider News