Skip to main content
COVID-19

Follow-Up After Hospitalization for Mental Illness (FUH)

HEDIS Measure

Follow-Up After Hospitalization for Mental Illness (FUH)

Line of business: Commercial Medicaid Medicare

Data Collection Method: Administrative

Measure Description

The percentage of discharges for members 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 provider.

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.

Numerator Compliance

30-Day Follow-Up - A follow-up visit with a mental health provider within 30 days after discharge. Do not include visits that occur on the date of discharge.

7-Day Follow-Up - A follow-up visit with a mental health provider within 7 days after discharge. Do not include visits that occur on the date of discharge.

For both indicators, any of the following meet criteria for a follow-up visit:

  • Outpatient, BH outpatient visit, intensive outpatient encounter, partial hospitalization, community mental health center visit with a mental health provider.
  • Electroconvulsive therapy
  • Telehealth, telephone or observation visit, or transitional care management services with a mental health provider.
  • Visit in a behavioral healthcare setting
  • Psychiatric collaborative care management

Best Practices

  • Educate patients and caregivers on the importance of follow-up to reduce the risk of inpatient admission.
  • Discuss the importance of seeking follow-up with a mental health provider
  • Train staff on the “Teach Back Method” to ensure patients and caregivers review and understand discharge instructions and the next steps in their care for follow–up
  • Develop outreach systems or assign case managers to encourage recently released patients to keep follow-up appointments or reschedule missed appointments.
  • Outreach patients who do not keep initial follow-up appointments
  • Set flags if available in EHR or develop tracking method for patients due or past due for follow-up after discharge visits and require staff to follow up with patients that miss or cancel their appointment
  • Coordinate care with behavioral health practitioners by sharing progress notes and updates

Quality Value Set Directory Coding Tips

Behavioral Healthcare Setting

UBREV

  • 0513
  • 0900
  • 0901
  • 0902
  • 0903
  • 0904
  • 0905
  • 0907
  • 0911
  • 0912
  • 0913
  • 0914
  • 0915
  • 0916
  • 0917
  • 0919

BH Outpatient

CPT

  • 98960
  • 98961
  • 98962
  • 99078
  • 99201
  • 99202
  • 99203
  • 99204
  • 99205
  • 99211
  • 99212
  • 99213
  • 99214
  • 99215
  • 99241
  • 99242
  • 99243
  • 99244
  • 99245
  • 99341
  • 99342
  • 99343
  • 99344
  • 99345
  • 99347
  • 99348
  • 99349
  • 99350
  • 99381
  • 99382
  • 99383
  • 99384
  • 99385
  • 99386
  • 99387
  • 99391
  • 99392
  • 99393
  • 99394
  • 99395
  • 99396
  • 99397
  • 99401
  • 99402
  • 99403
  • 99404
  • 99411
  • 99412
  • 99483
  • 99492
  • 99493
  • 99494
  • 99510

HCPCS

  • G0155
  • G0176
  • G0177
  • G0409
  • G0463
  • G0512
  • H0002
  • H0004
  • H0031
  • H0034
  • H0036
  • H0037
  • H0039
  • H0040
  • H2000
  • H2010
  • H2011
  • H2013
  • H2014
  • H2015
  • H2016
  • H2017
  • H2018
  • H2019
  • H2020
  • T1015

SNOMED CT US Edition

  • 77406008
  • 84251009
  • 185463005
  • 185464004
  • 185465003
  • 281036007
  • 391223001
  • 391224007
  • 391225008
  • 391233009
  • 391237005
  • 391239008
  • 391242002
  • 391257009
  • 391260002
  • 391261003
  • 439740005
  • 3391000175108
  • 444971000124105

UBREV

  • 0510
  • 0513
  • 0515
  • 0516
  • 0517
  • 0519
  • 0520
  • 0521
  • 0522
  • 0523
  • 0526
  • 0527
  • 0528
  • 0529
  • 0900
  • 0902
  • 0903
  • 0904
  • 0911
  • 0914
  • 0915
  • 0916
  • 0917
  • 0919
  • 0982
  • 0983

Community Mental Health Center POS

POS

  • 53

Electroconvulsive Therapy

CPT

  • 90870

ICD10PCS

  • GZB0ZZZ
  • GZB1ZZZ
  • GZB2ZZZ
  • GZB3ZZZ
  • GZB4ZZZ

SNOMED CT US Edition

  • 10470002
  • 11075005
  • 23835007
  • 231079005
  • 231080008
  • 284468008
  • 313019002
  • 313020008
  • 1010696002
  • 1010697006

Observation

CPT

  • 99217
  • 99218
  • 99219
  • 99220

Outpatient POS

POS

  • 03
  • 05
  • 07
  • 09
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 22
  • 33
  • 49
  • 50
  • 71
  • 72

Partial Hospitalization or Intensive Outpatient

HCPCS

  • G0410
  • G0411
  • H0035
  • H2001
  • H2012
  • S0201
  • S9480
  • S9484
  • S9485

SNOMED CT US Edition

  • 7133001
  • 305345009
  • 305346005
  • 305347001
  • 391038005
  • 391042008
  • 391043003
  • 391046006
  • 391047002
  • 391048007
  • 391054008
  • 391055009
  • 391056005
  • 391133003
  • 391150001
  • 391151002
  • 391152009
  • 391153004
  • 391170007
  • 391185001
  • 391186000
  • 391187009
  • 391188004
  • 391191004
  • 391192006
  • 391194007
  • 391195008
  • 391207001
  • 391208006
  • 391209003
  • 391210008
  • 391211007
  • 391228005
  • 391229002
  • 391232004
  • 391252003
  • 391254002
  • 391255001
  • 391256000

UBREV

  • 0905
  • 0907
  • 0912
  • 0913

Partial Hospitalization POS

POS

  • 52

Psychiatric Collaborative Care Management

CPT

  • 99492
  • 99493
  • 99494

HCPCS

  • G0512

Telehealth POS

POS

  • 02

Telephone Visits

CPT

  • 98966
  • 98967
  • 98968
  • 99441
  • 99442
  • 99443

SNOMED CT US Edition

  • 185317003
  • 314849005
  • 386472008
  • 386473003
  • 401267002

Transitional Care Management Services

CPT

  • 99495
  • 99496

Visit Setting Unspecified

CPT

  • 90791
  • 90792
  • 90832
  • 90833
  • 90834
  • 90836
  • 90837
  • 90838
  • 90839
  • 90840
  • 90845
  • 90847
  • 90849
  • 90853
  • 90875
  • 90876
  • 99221
  • 99222
  • 99223
  • 99231
  • 99232
  • 99233
  • 99238
  • 99239
  • 99251
  • 99252
  • 99253
  • 99254
  • 99255