Billing

Developmental screening can be billed using CPT billing code 96110 or ICD-10 Z13.4. This covers the time a physician scores, reviews results, and interprets findings.  Billing for developmental screening using these codes requires documentation that the screening was given and notes any action taken, such as follow-up screening, developmental milestone information, or referral to community agency or community resource. Reimbursement rates vary by insurance provider. Contact insurance providers directly to learn the reimbursement rate.  For Behavioral/Social Emotional screening of young children use CPT code 96127. For Maternal Depression use CPT Code 96161.

 

Downloadable Materials

  1. Birth to 5: Watch Me Thrive Developmental Screening Passport 
  2. Sample Workflow from Help Me Grow Ventura County
  3. Sample of a Behavioral Health Referral Mechanism – from Alameda County
  4. Developmental Screening Landscape Analysis – California Statewide Screening Collaborative
  5. Referring Infants to Early Intervention Services

 

Citations

Citations downloadable PDF

 

Federal & National Initiatives

Birth to Five: Watch Me Thrive!

CDC Learn the Signs. Act Early

AAP Bright Futures

AAP Star Center | Screening Technical Assistance & Resource Center

 

California State Programs

California Early Start (Part C)

Child Health and Disability Prevention (CHDP)

Help Me Grow California Program

High Risk Infant Follow Up (HRIF)

MCAH Programs

 

Resources for Families

Early Start Website Directory

Regional Center Early Start Intake and Family Resource Centers

Early Start Neighborhood

California Early Intervention Technical Assistance Network

 

Health Care Insurance Information

Patient Protection and Affordable Care Act (PPACA)

Medi-Cal

 

Recent Publications

February 2018. Early Identification and Intervention Systems in California: Bright Spots and Lessons Learned

2018. Broad Developmental Screening Misses Young Children With Social-Emotional Needs