Initiation and Engagement of Substance Use Disorder 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 (Claims)
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).
Intake period - November 15 of the year prior to the measurement year–November 14 of the measurement year.
SUD episode - An encounter during the intake period with a diagnosis of SUD. For visits that result in an inpatient stay, the inpatient discharge is the SUD episode (an SUD diagnosis is not required for the inpatient stay; use the diagnosis from the visit that resulted in the inpatient stay to determine the diagnosis cohort).
SUD episode date - The date of service for an encounter during the intake period with a diagnosis of SUD.
For a visit (not resulting in an inpatient stay), the SUD episode date is the date
of service.
For an inpatient stay or for withdrawal management (i.e., detoxification) that
occurred during an inpatient stay, the SUD episode date is the date of
discharge.
For withdrawal management (i.e., detoxification), other than those that occurred during an inpatient stay, the SUD episode date is the date of service.
For direct transfers, the SUD episode date is the discharge date from the last
admission (an SUD diagnosis is not required for the transfer; use the diagnosis from the initial admission to determine the diagnosis cohort).
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
Description | Prescription |
Aldehyde dehydrogenase inhibitor |
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Antagonist |
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Other |
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Description | Prescription | Medication Lists |
Antagonist |
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Antagonist |
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Partial agonist |
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Partial agonist |
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Partial agonist |
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Partial agonist |
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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
Buprenorphine Implant
HCPCS
- G2070
- G2072
- J0570
Buprenorphine Injection
HCPCS
- G2069
- Q9991
- Q9992
Buprenorphine Naloxone
HCPCS
- J0572
- J0573
- J0574
- J0575
Buprenorphine Oral
HCPCS
- H0033
- J0571
Buprenorphine Oral Weekly
HCPCS
- G2068
- G2079
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
Methadone Oral
HCPCS
- H0020
- S0109
SNOMED CT US Edition
- 310653000
Methadone Oral Weekly
HCPCS
- G2067
- G2078
Naltrexone Injection
HCPCS
- G2073
- J2315
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 POS
POS
- 57
- 58
Observation
CPT
- 99217
- 99218
- 99219
- 99220
Online Assessments
CPT
- 98969
- 98970
- 98971
- 98972
- 99421
- 99422
- 99423
- 99444
- 99457
- 99458
HCPCS
- G0071
- G2010
- G2012
- G2061
- G2062
- G2063
- G2250
- G2251
- G2252
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
- 10
- 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