Developmental Screening in Pediatrics
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Questions and Answers

What is the CPT code for Developmental screening?

  • 96110 (correct)
  • 99214
  • 96127
  • 99215
  • What must be included with the administration of the 96110 CPT code?

    scoring and documentation with a standardized instrument

    What is the cost associated with CPT code 96127?

  • $3.48
  • $54.42
  • $120.56
  • $4.00 (correct)
  • CPT code 96161 is for the administration of a caregiver-focused health risk assessment instrument.

    <p>True</p> Signup and view all the answers

    Which CPT code is for an established patient office visit typically lasting 25 minutes?

    <p>99214</p> Signup and view all the answers

    What is a requirement for CPT code 99215?

    <blockquote> <p>50% of visit time must be spent in counseling and coordination related to diagnosed condition</p> </blockquote> Signup and view all the answers

    Which CPT code corresponds to a patient office consultation typically lasting 60 minutes?

    <p>99244</p> Signup and view all the answers

    What is the main purpose of developmental and social-emotional screenings?

    <p>To support children’s healthy development and identify areas where support may be needed.</p> Signup and view all the answers

    Which screening tool is used for assessing depression in adolescents?

    <p>PHQ-9</p> Signup and view all the answers

    At what age can the ASQ:SE tool be used?

    <p>6–60 months</p> Signup and view all the answers

    Before starting the screening process, remember to refresh your knowledge on developmental ______.

    <p>milestones</p> Signup and view all the answers

    Screening results should be shared with families via email for privacy reasons.

    <p>False</p> Signup and view all the answers

    What should be done if a family requires an interpreter for the screening process?

    <p>Find out their preferred language and ensure that interpretation services are provided free of charge.</p> Signup and view all the answers

    What is the appropriate response if a child’s behavior during the screening appears to be influenced by cultural norms?

    <p>Evaluate within the context of cultural expectations.</p> Signup and view all the answers

    A child aged ______ years may be screened with the Pediatric Symptom Checklist (PSC).

    <p>4–16</p> Signup and view all the answers

    What is one key message to communicate to families about the screening process?

    <p>Explain that the screening helps ensure a child's development is on schedule.</p> Signup and view all the answers

    Children can be used as interpreters during the screening.

    <p>False</p> Signup and view all the answers

    Match the screening tool with its appropriate age group:

    <p>EPDS = Perinatal women MCHAT = 16–30 months SWYC = 0–60 months SEEK = 0–5 years</p> Signup and view all the answers

    Study Notes

    Importance of Developmental Screening

    • Developmental and social-emotional screenings are crucial for monitoring children's growth and identifying areas needing support.
    • Screenings involve collaboration between parents/guardians and professionals to assess development points.

    Screening Tools Overview

    • Numerous evidence-based screening tools are available for pediatric providers, selected based on child age and purpose.
    • Common screening tools include:
      • PHQ-9 (13+ years)
      • EPDS (Perinatal women)
      • ASQ:SE (6–60 months)
      • PEDS (Birth–8 years)
      • MCHAT (16–30 months)
      • BITSEA (12–36 months)
      • ECSA (18–60 months)
      • PSC (4–16 years)
      • SDQ (3–16 years)
      • SWYC (0–60 months)
      • SEEK (0–5 years)
      • CRAFFT (14 to 21 years)

    Preparation for Screening

    • Refresh understanding of developmental milestones through CDC resources.
    • Select appropriate screening tools, adjusting for prematurity in infants.
    • Practice communication strategies with families to prepare them for the screening process.
    • Clearly explain screening objectives and encourage family participation.

    Engaging Families

    • Prepare to address any cultural expectations and norms that may influence screening results.
    • Gather necessary information for effective participation, including interpretation and preferred languages.
    • Conduct screenings in a comfortable environment, respecting literacy levels and providing information as needed.

    Conducting the Screening

    • Use positive language and emphasize confidentiality.
    • Facilitate family engagement by reinforcing their knowledge and experience.
    • Address culturally-based behavioral expectations without bias.

    Post-Screening Actions

    • Thoroughly review and double-check screening results.
    • Outline follow-up points for family discussions, focusing on strengths and potential areas for development.
    • Be sensitive to emotional responses from families and provide appropriate resources for support.

    Results Review and Next Steps

    • Review screening results collaboratively, emphasizing family strengths.
    • Discuss according to privacy standards; follow up options and referrals should be communicated directly.
    • Consider ongoing monitoring for child development and refer for additional evaluations if necessary.

    Coding and Billing for Services

    • Proper coding ensures reimbursement for screening services, essential codes include:
      • CPT 96110 for developmental screening.
      • CPT 96127 for brief emotional/behavioral assessment.
      • CPT 99214–99215 for established patient visits focusing on counseling related to screening outcomes.

    Additional Resources

    • Utilize resources from organizations like AAP, CDC, and Zero to Three for guidelines and further support in child development screening.### ASQ:SE-2 and ASQ-3 Overview
    • ASQ:SE-2 (Ages & Stages Questionnaires: Social-Emotional, Second Edition) and ASQ-3 (Ages & Stages Questionnaires, Third Edition) are developmental screening tools.
    • Developed by Paul H. Brookes Publishing Co., these questionnaires assess developmental and behavioral milestones in children from birth to 5 years.

    Key Resources and Guides

    • User's Guides: Manuals provide instructions for implementing ASQ-3 and ASQ:SE-2, including scoring and interpretation (published in 2009 and 2015 respectively).
    • Practice Resources: ASQ:SE-2 in Practice DVD offers practical applications of the tool in early childhood settings.
    • Home Visit Guidance: The "Ages & Stages Questionnaires® on a Home Visit" DVD serves as a resource for providers administering screenings in home settings.

    Importance of Developmental Screening

    • "Why Screening Matters" outlines the significance of early identification of developmental delays to ensure timely interventions.
    • U.S. Department of Health and Human Services and the Department of Education support developmental screening initiatives, promoting child wellness from an early age.

    Supplemental Training Materials

    • ASQ-3 Scoring & Referral DVD serves as a tutorial for accurately scoring the ASQ-3 questionnaires and making appropriate referrals based on results.
    • Multiple resources from Paul H. Brookes Publishing Co., including DVDs and guides, enhance understanding and implementation of screening tools in various educational and healthcare contexts.

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    Description

    Explore the essential practices for conducting developmental and social-emotional screenings in a pediatric setting. This resource outlines strategies for effective preparation, communication, and fostering partnerships among parents and professionals. Enhance your skills in supporting children's healthy development through targeted assessments.

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