PATIENT HEALTH SURVEY 2025

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The document is a comprehensive Patient Health Survey designed for individuals with diabetes. It collects personal and medical information, including diabetes history, general health, nutrition, exercise habits, pain assessment, blood glucose monitoring, and social factors. The survey aims to gather data to assist healthcare providers in offering tailored support and education to patients managing diabetes.

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Click ‘Get Form’ to open the PATIENT HEALTH SURVEY in the editor.
Begin by filling out the General Information section. Enter your date, name, birth date, age, gender, and contact details. Indicate your preferred language and provide information about your primary care and diabetes doctors.
Move to the Diabetes History section. Record when you were diagnosed, your blood glucose levels at diagnosis, and any relevant family history of diabetes. Answer questions regarding your understanding of diabetes and any education you've received.
In the Medical History section, assess your general health and list any other conditions you may have. Include details about recent medical exams and vaccinations.
Proceed to Nutrition and Exercise sections. Provide information about your weight, dietary habits, exercise frequency, and any dietary restrictions.
Complete the Pain Assessment if applicable, followed by Monitoring and Lows sections where you can detail your blood glucose testing routine.
Fill out the Pregnancy (if applicable) and Risk Factors sections as needed.
Finally, complete the Health Beliefs and Social/Learning History sections before signing the document.

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How much does the PHQ-9 cost?

StrategyCost, $Incremental cost, $ 2. PHQ 2/9 screening; Usual care 12,922 1,055 3. PHQ 9 screening; Usual care 15,830 2,908 4.PHQ2/9 screening; Collaborative care a 12,528 660 5. PHQ 9 screening; Collaborative care b 16,537 4,0091 more row Aug 31, 2017

What does a PHQ-9 score mean?

PHQ-9 scores of 5, 10, 15, and 20 represented mild, moderate, moderately severe, and severe depression, respectively. Results were similar in the primary care and obstetrics-gynecology samples.

What are the PHQ-4 questions?

Patient Health Questionnaire-4 (PHQ-4) Over the last 2 weeks, how often have you been bothered by feeling nervous, anxious or on edge? Over the last 2 weeks, how often have you been bothered by not being able to stop or control worrying?

Do you need permission to use PHQ-9?

The PHQ-9, translations of the measure, and an instruction manual are available at .phqscreeners.com. No permission is required to reproduce, translate, display, or distribute the PHQ-9.

Is PHQ-9 free to use?

Unlike some depression scales, the PHQ‐9 is free to use as a public domain measure, and the many translations make it accessible to populations around the world.

Is the PHQ-9 billable?

Because 96127 is billed per instrument, the code fits naturally into visits where you use more than one validated tool (for example, a PHQ-9 plus an AUDIT-C) so long as your documentation supports medical necessity and your payer allows multiple units.

Is the PHQ-9 public domain?

Rights holder: This measure was adapted from the Patient Health Questionnaire 9 (PHQ-9), which is in the public domain (). The original measure was developed by Drs. Robert L.

What is a Patient Health Questionnaire?

The PHQ-9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression: n The PHQ-9 incorporates DSM-IV depression diagnostic criteria with other leading major depressive symptoms into a brief self-report tool.

PATIENT HEALTH SURVEY 2025

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