Questions and Answers
What is the CPT code for Developmental screening?
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?
CPT code 96161 is for the administration of a caregiver-focused health risk assessment instrument.
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Which CPT code is for an established patient office visit typically lasting 25 minutes?
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What is a requirement for CPT code 99215?
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Which CPT code corresponds to a patient office consultation typically lasting 60 minutes?
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What is the main purpose of developmental and social-emotional screenings?
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Which screening tool is used for assessing depression in adolescents?
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At what age can the ASQ:SE tool be used?
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Before starting the screening process, remember to refresh your knowledge on developmental ______.
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Screening results should be shared with families via email for privacy reasons.
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What should be done if a family requires an interpreter for the screening process?
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What is the appropriate response if a child’s behavior during the screening appears to be influenced by cultural norms?
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A child aged ______ years may be screened with the Pediatric Symptom Checklist (PSC).
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What is one key message to communicate to families about the screening process?
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Children can be used as interpreters during the screening.
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Match the screening tool with its appropriate age group:
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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.
