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What effect does ASQ and M-CHAT have on developmental screening code 96110?

obinna Posted Fri 19th of December, 2014 12:25:31 PM

A pediatrician sees a patient for a well check (99392), developmental screening (96110) for Other developmental speech or language disorder (315.39). If the pediatrician indicates ASQ (AGES AND STAGES Questionnaire) and M-CHAT (Modified Checklist for Autism in Toddlers), how should all this be billed? What modifiers should be appended to what codes? Please show example

SuperCoder Answered Mon 22nd of December, 2014 11:09:28 AM

We are currently researching. Thank you.

SuperCoder Answered Mon 22nd of December, 2014 11:09:28 AM
We are currently researching. Thank you.
SuperCoder Answered Tue 23rd of December, 2014 07:21:45 AM

Thank you for your question.

Standardized testing, such as ASQ are included in the Clinical Responsibility of code 96100, they would not be separately billable. There are no modifiers needed for these 2 codes to be billed together.

Clinical Responsibility

The provider uses a standardized form to analyze the presence of any developmental disorder, typically during infancy or adolescence, or the provider uses the form to determine whether the patient requires any additional work up for the developmental disorder. The provider can use various screening forms such as the Ages and Stages Questionnaire: Social–Emotional, ASQ–SE; Australian Scale for Asperger's Syndrome, ASAS; Behavior Assessment Scale for Children, BASC; Behavioral Rating Inventory of Executive Functioning, BRIEF, for Psychological Assessment; Child Development Review; Communication and Symbolic Scales Developmental Profile, CSBS DP; Kaufman Brief Intelligence Test; Parents' Evaluation of Developmental Status, PEDS; Pediatric Symptom Checklist, PSC; and Vanderbilt Rating Scales. The provider then interprets the results on the forms and reports any abnormality detected in the findings.

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