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96110 Developmental screening (e.g., developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument
Guidance on when to use this code for Pediatric well visits:
Add this code for 18 and 24 month well visit when complete MCHAT
Can also add this code if complete developmental screening scoring tool. If a Pediatric provider uses the Ages and Stages or SWYC scoring tool for a well visit between 2 months – 5 years of age, the provider should add 96110 to visit. [in orders drop down as: Developmental Testing – 96110]
96127 Brief emotional/behavioral assessment (e.g., depression inventory, attention-deficit/hyperactivity disorder scale), with scoring and documentation, per standardized instrument
Guidance on when to use this code for Pediatric well visits:
Add this code when complete Adolescent Depression screening Tool (11+ years)
Add this code when complete a Connor’s Rating scale or Vanderbilt rating scale related to scoring for ADHD. [in orders drop down as: Brief Emotional/Behavior Assessment – 96127]
A Pediatric provider can also use this code for Developmental screen using Chadis Tool (0-3 years) or early childhood screening assessment (18 months – 4 years) or Pediatric Symptom Checklist (4 year – 21 year),
96160 Administration of patient-focused health risk assessment instrument (e.g., health hazard appraisal) with scoring and documentation, per standardized instrument
Guidance on when to use this code for Pediatric well visits:
Add this code when completing CRAFFT or ACT to a visit (30 months, 3 years – 21 years annual visits, – Healthy Habits (Brenner families in Training tool); Substance Use (CRAFFT) 11 years – 21 years, [in orders drop down as: Admin of Patient Focused Health Risk Assessment – 96160]
96161 Administration of caregiver-focused health risk assessment instrument (e.g., depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument
Guidance on when to use this code for Pediatric well visits:
Add this code when complete Maternal Depression Screening tool (Recommend complete for mother during each well visit up 12 months of age of infant) [Maternal Depression Screen – 96161]
Can add this code when complete one of the following tools: Well Visits from Birth – 5 years: Intimate Partner Violence (FASS+ or SWYC), Food Insecurity (FASS+ or SWYC), Parental Substance Abuse/alcohol (FASS+ or SWYC),
