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Which question would the nurse ask when using the Patient Health Questionnaire - 2 ( PHQ 2 ) ? Over the past 2 weeks, have you felt little interest or pleasure in doing things?
The PHQ-2 inquires about the frequency of depressed mood and anhedonia over the past two weeks. The PHQ-2 includes the first two items of the PHQ-9. The purpose of the PHQ-2 is to screen for depression in a first-step approach.
The Patient Health Questionnaire (PHQ) is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as 0 (not at all) to 3 (nearly every day).
Step 1: A depression diagnosis that warrants initiating or changing treatment requires that at least one of the first two questions was endorsed as positive (more than one-half of the days or nearly every day) in the past 2 weeks.
Please note the same CPT code (i.e. 96127) is used for both the abbreviated 2-question PHQ-2 instrument and the longer 9-question PHQ-9 instrument. When using the PHQ-2 screening, CHN recommends including the diagnosis code Z13. 89 (Encounter for screening for other disorder).
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