Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET)
HEDIS Measure
Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET)
Line of business: Commercial Medicaid Medicare
Data Collection Method: Administrative
Measure Description
The percentage of new substance use disorder (SUD) episodes that result in treatment initiation and engagement.
Two rates are reported:
- Initiation of SUD Treatment. The percentage of new SUD episodes that result in treatment initiation through an inpatient. SUD admission, outpatient visit, intensive outpatient encounter, partial hospitalization, telehealth visit or medication treatment within 14 days.
- Engagement of SUD Treatment. The percentage of new SUD episodes that have evidence of treatment engagement within 34 days of initiation.
Numerator Compliance
Initiation of SUD Treatment - Initiation of SUD treatment within 14 days of the SUD Episode Date.
Engagement of SUD Treatment, Visits or Medication Treatment Events - At least two of the following (any combination) on the day after the initiation encounter through 34 days after the initiation event:
- Engagement visit
- Engagement medication treatment event
NOTE: Two engagement visits may be on the same date of two events.
An engagement visit on the same date of service as an engagement medication treatment event meets criteria (there is no requirement that they be with different providers).
Best Practices
- Discuss the importance of timely, recommended follow-up visits
- Use the same diagnosis for substance use at each follow-up
- Coordinate care between behavioral health and primary care
- Share progress notes and updates
- Reach out to patients who cancel appointments and assist them
- Consider telemedicine visit when in-person visits are not available
NOTE: The use of a non-substance diagnosis code will not fulfill this measure
Quality Value Set Directory Coding Tips
Alcohol Abuse and Dependence
ICD10CM
- F10.10
- F10.120
- F10.121
- F10.129
- F10.130
- F10.131
- F10.132
- F10.139
- F10.14
- F10.150
- F10.151
- F10.159
- F10.180
- F10.181
- F10.182
- F10.188
- F10.19
- F10.20
- F10.220
- F10.221
- F10.229
- F10.230
- F10.231
- F10.232
- F10.239
- F10.24
- F10.250
- F10.251
- F10.259
- F10.26
- F10.27
- F10.280
- F10.281
- F10.282
- F10.288
- F10.29
SNOMED CT US Edition
- 281004
- 7052005
- 7200002
- 8635005
- 15167005
- 18653004
- 29212009
- 34938008
- 41083005
- 42344001
- 53936005
- 61144001
- 66590003
- 70701004
- 73097000
- 85561006
- 86325007
- 87810006
- 191475009
- 191476005
- 191478006
- 191480000
- 191802004
- 191804003
- 191805002
- 191811004
- 191812006
- 191882002
- 191883007
- 268645007
- 284591009
- 308742005
- 713583005
- 713862009
- 714829008
- 723926008
- 723927004
- 723928009
- 723929001
- 723930006
- 97571000119109
- 135301000119103
- 135311000119100
- 135321000119107
- 154211000119108
- 288021000119107
- 288031000119105
- 10741871000119101
- 10755041000119100
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
Inpatient Stay
UBREV
- 0100
- 0101
- 0110
- 0111
- 0112
- 0113
- 0114
- 0116
- 0117
- 0118
- 0119
- 0120
- 0121
- 0122
- 0123
- 0124
- 0126
- 0127
- 0128
- 0129
- 0130
- 0131
- 0132
- 0133
- 0134
- 0136
- 0137
- 0138
- 0139
- 0140
- 0141
- 0142
- 0143
- 0144
- 0146
- 0147
- 0148
- 0149
- 0150
- 0151
- 0152
- 0153
- 0154
- 0156
- 0157
- 0158
- 0159
- 0160
- 0164
- 0167
- 0169
- 0170
- 0171
- 0172
- 0173
- 0174
- 0179
- 0190
- 0191
- 0192
- 0193
- 0194
- 0199
- 0200
- 0201
- 0202
- 0203
- 0204
- 0206
- 0207
- 0208
- 0209
- 0210
- 0211
- 0212
- 0213
- 0214
- 0219
- 1000
- 1001
- 1002
Non-residential Substance Abuse Treatment Facility POS0
POS
- 57
- 58
Observation
CPT
- 99217
- 99218
- 99219
- 99220
Online Assessments
CPT
- 98969
- 98970
- 98971
- 98972
- 99421
- 99422
- 99423
- 99444
- 99457
HCPCS
- G0071
- G2010
- G2012
- G2061
- G2062
- G2063
Opioid Abuse and Dependence
ICD10CM
- F11.10
- F11.120
- F11.121
- F11.122
- F11.129
- F11.13
- F11.14
- F11.150
- F11.151
- F11.159
- F11.181
- F11.182
- F11.188
- F11.19
- F11.20
- F11.220
- F11.221
- F11.222
- F11.229
- F11.23
- F11.24
- F11.250
- F11.251
- F11.259
- F11.281
- F11.282
- F11.288
- F11.29
SNOMED CT US Edition
- 5602001
- 14784000
- 19445006
- 20385005
- 29733004
- 52866005
- 71328000
- 75544000
- 87132004
- 88926005
- 191819002
- 191820008
- 191865004
- 191867007
- 191868002
- 191909007
- 191912005
- 191913000
- 230443000
- 231477003
- 231478008
- 231479000
- 231480002
- 426001001
- 703845008
- 703846009
- 703847000
- 724653003
- 724655005
- 762320004
- 762321000
- 762322007
- 1081000119105
- 145121000119106
- 288851000119106
- 288861000119108
Other Drug Abuse and Dependence
ICD10CM
- F12.10
- F12.120
- F12.121
- F12.122
- F12.129
- F12.13
- F12.150
- F12.151
- F12.159
- F12.180
- F12.188
- F12.19
- F12.20
- F12.220
- F12.221
- F12.222
- F12.229
- F12.23
- F12.250
- F12.251
- F12.259
- F12.280
- F12.288
- F12.29
- F13.10
- F13.120
- F13.121
- F13.129
- F13.130
- F13.131
- F13.132
- F13.139
- F13.14
- F13.150
- F13.151
- F13.159
- F13.180
- F13.181
- F13.182
- F13.188
- F13.19
- F13.20
- F13.220
- F13.221
- F13.229
- F13.230
- F13.231
- F13.232
- F13.239
- F13.24
- F13.250
- F13.251
- F13.259
- F13.26
- F13.27
- F13.280
- F13.281
- F13.282
- F13.288
- F13.29
- F14.10
- F14.120
- F14.121
- F14.122
- F14.129
- F14.13
- F14.14
- F14.150
- F14.151
- F14.159
- F14.180
- F14.181
- F14.182
- F14.188
- F14.19
- F14.20
- F14.220
- F14.221
- F14.222
- F14.229
- F14.23
- F14.24
- F14.250
- F14.251
- F14.259
- F14.280
- F14.281
- F14.282
- F14.288
- F14.29
- F15.10
- F15.120
- F15.121
- F15.122
- F15.129
- F15.13
- F15.14
- F15.150
- F15.151
- F15.159
- F15.180
- F15.181
- F15.182
- F15.188
- F15.19
- F15.20
- F15.220
- F15.221
- F15.222
- F15.229
- F15.23
- F15.24
- F15.250
- F15.251
- F15.259
- F15.280
- F15.281
- F15.282
- F15.288
- F15.29
- F16.10
- F16.120
- F16.121
- F16.122
- F16.129
- F16.14
- F16.150
- F16.151
- F16.159
- F16.180
- F16.183
- F16.188
- F16.19
- F16.20
- F16.220
- F16.221
- F16.229
- F16.24
- F16.250
- F16.251
- F16.259
- F16.280
- F16.283
- F16.288
- F16.29
- F18.10
- F18.120
- F18.121
- F18.129
- F18.14
- F18.150
- F18.151
- F18.159
- F18.17
- F18.180
- F18.188
- F18.19
- F18.20
- F18.220
- F18.221
- F18.229
- F18.24
- F18.250
- F18.251
- F18.259
- F18.27
- F18.280
- F18.288
- F18.29
- F19.10
- F19.120
- F19.121
- F19.122
- F19.129
- F19.130
- F19.131
- F19.132
- F19.139
- F19.14
- F19.150
- F19.151
- F19.159
- F19.16
- F19.17
- F19.180
- F19.181
- F19.182
- F19.188
- F19.19
- F19.20
- F19.220
- F19.221
- F19.222
- F19.229
- F19.230
- F19.231
- F19.232
- F19.239
- F19.24
- F19.250
- F19.251
- F19.259
- F19.26
- F19.27
- F19.280
- F19.281
- F19.282
- F19.288
- F19.29
SNOMED CT US Edition
- 1383008
- 1686006
- 1973000
- 2403008
- 5002000
- 5444000
- 6348008
- 7071007
- 8837000
- 10028000
- 10327003
- 11387009
- 15277004
- 18689007
- 20876004
- 21647008
- 22574000
- 25753007
- 26714005
- 27956007
- 28864000
- 30491001
- 31956009
- 32009006
- 32358001
- 32875003
- 37344009
- 38247002
- 39807006
- 39951001
- 40571009
- 43497001
- 46975003
- 47664006
- 50320000
- 50933003
- 51443000
- 51493001
- 53050002
- 57588009
- 59651006
- 61104008
- 63649001
- 63983005
- 64386003
- 70328006
- 70340006
- 70932007
- 74851005
- 74934004
- 75122001
- 77355000
- 78267003
- 78358001
- 80868005
- 82339009
- 83367009
- 84758004
- 85005007
- 89451009
- 91388009
- 95661003
- 191825003
- 191826002
- 191831000
- 191832007
- 191837001
- 191838006
- 191843004
- 191844005
- 191849000
- 191850000
- 191853003
- 191855005
- 191856006
- 191877009
- 191891003
- 191893000
- 191894006
- 191899001
- 191900006
- 191905001
- 191906000
- 191916008
- 191918009
- 191919001
- 191924003
- 191925002
- 231461004
- 231462006
- 231468005
- 231469002
- 231470001
- 231472009
- 231473004
- 231474005
- 231475006
- 268640002
- 268646008
- 268647004
- 268648009
- 275471001
- 301643003
- 312098001
- 312936002
- 361150008
- 361151007
- 416714005
- 417143004
- 425339005
- 425885002
- 426095000
- 426873000
- 427205009
- 427229002
- 427327003
- 428370001
- 429692000
- 441527004
- 442406005
- 699449003
- 703848005
- 703849002
- 703850002
- 723933008
- 723936000
- 723937009
- 724656006
- 724657002
- 724658007
- 724659004
- 724660009
- 724661008
- 724662001
- 724663006
- 724664000
- 724665004
- 724666003
- 724667007
- 724668002
- 724669005
- 724670006
- 724671005
- 724672003
- 724675001
- 724688003
- 724689006
- 724690002
- 724691003
- 724692005
- 724693000
- 724695007
- 724696008
- 724700000
- 724701001
- 724702008
- 724704009
- 724706006
- 724712001
- 724714000
- 724715004
- 724720004
- 724724008
- 724725009
- 724726005
- 724727001
- 724728006
- 724732000
- 735750005
- 737338002
- 762324008
- 762325009
- 762326005
- 762327001
- 762333005
- 762334004
- 762335003
- 762336002
- 762337006
- 762338001
- 762339009
- 762340006
- 762344002
- 762345001
- 762346000
- 762517008
- 762672001
- 785277001
- 817962007
- 838527002
- 23601000119102
- 34111000119108
- 86391000119101
- 86401000119104
- 125851000119106
- 144981000119109
- 145101000119102
- 145841000119107
- 288461000119105
- 11047881000119101
- 11048011000119103
- 12398281000119105
- 12398651000119100
OUD Monthly Office Based Treatment
HCPCS
- G2086
- G2087
OUD Weekly Drug Treatment Service
HCPCS
- G2067
- G2068
- G2069
- G2070
- G2072
- G2073
OUD Weekly Non Drug Service
HCPCS
- G2071
- G2074
- G2075
- G2076
- G2077
- G2080
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
Substance Use Disorder Services
CPT
- 99408
- 99409
HCPCS
- G0396
- G0397
- G0443
- H0001
- H0005
- H0007
- H0015
- H0016
- H0022
- H0047
- H0050
- H2035
- H2036
- T1006
- T1012
SNOMED CT US Edition
- 20093000
- 23915005
- 56876005
- 61480009
- 64297001
- 67516001
- 87106005
- 182969009
- 266707007
- 310653000
- 370776007
- 370854007
- 385989002
- 386449006
- 386450006
- 386451005
- 414054004
- 414056002
- 414283008
- 414501008
- 415662004
- 424589009
- 445628007
- 445662007
- 450760003
- 704182008
- 707166002
- 711008001
- 713106006
- 713107002
- 713127001
- 720174008
- 720175009
- 720176005
- 720177001
- 763104007
- 763233002
- 763302001
- 772813001
- 774090004
- 774091000
- 792901003
- 792902005
- 827094004
- 865964007
- 428211000124100
UBREV
- 0906
- 0944
- 0945
Telehealth POS
POS
- 02
Telephone Visits
CPT
- 98966
- 98967
- 98968
- 99441
- 99442
- 99443
SNOMED CT US Edition
- 185317003
- 314849005
- 386472008
- 386473003
- 401267002
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