October 11 is National Depression Screening DayTexas Children's Health Plan
National Depression Screening Day is held annually in October. Depression is the leading cause of disability in the U.S. for ages 15-44. It is estimated that up to 64% of youth with major depressive disorder do not receive mental health treatment. Depression in youth has been linked to school and behavioral problems, self-injury and suicide, and poor social functioning. The incidence of perinatal depression ranges from 5 to 25 percent of pregnant and postpartum women, and studies of low-income and teenage mothers report depressive symptoms at rates of 40 to 60 percent.
Texas Health Steps benefits now cover screening for postpartum depression and adolescent (ages 12-18) mental health. Providers can receive reimbursement for screening using an approved screening tool. This reimbursement is available annually and is in addition to reimbursement for the office visit. Mothers of covered infants can be screened at the child’s office visit in the first year following delivery, regardless of the mother’s coverage status. Approved screens for adolescents include the PSC 17, PSC-35, Y-PSC, PHQ-9, PHQ-A (depression screen), CRAFFT, and PHQ-A (Anxiety, mood, substance use) Approved screens for postpartum depression are the Edinburgh Postnatal Depression Scale, PHQ-9 or Postpartum Depression Screening Scale.
For adolescent screenings, CPT code 96160 is used for approved tools completed by the adolescent and 96161 for screening tools completed by the parent or caregiver of an adolescent. Postpartum screening of mothers during an infant visit the first year of life are G8341 for positive screens and G8510 for negative screens. Related documentation should include screening tool used, results, referrals, education, and guidance, as well as when to return for the next visit.