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Developmental Screening 96110

Guna Posted Fri 07th of November, 2014 06:57:56 AM

What is the appropriate age limit for performing Developmental testing Screening 96110? How do we document it in the physician notes? Please explain. Thank you.

SuperCoder Answered Fri 07th of November, 2014 08:26:28 AM

Thanks for your question. 96110; Developmental screening, with interpretation and report, per standardized instrument form does not specify an age limit in the description. You must check your major payer policies to determine if there is an age limit. Some commercial payers set the age limit at 11 and some others may set an age limit of 17. Your documentation must include the interpretation of the test, the score, and discussion. Report 96110 only when the service uses a validated standardized tool, not a homegrown set of questions. The AAP "Developmental Surveillance and Screening of Infants and Young Children" policy statement recommends that physicians use validated developmental screening tools to improve detection of problems at the earliest possible age to allow further developmental assessment and appropriate early intervention services. For a listing of accepted tools, check out the AAP's 96110 Fact Sheet available at http://ww.gaaap.org/member-programs/developmental-screening.html. You may bill additional 96110 with modifier 59 (distinct procedural service) when completing multiple tests. See the attached links for additional information. Hope this helps.

https://www.supercoder.com/coding-newsletters/my-pediatric-coding-alert/report-only-legitimate-96110s-to-preserve-codes-integrity-article

https://www.supercoder.com/coding-newsletters/my-pediatric-coding-alert/does-96110-have-an-age-limit-it-depends-on-who-you-ask-article

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