Better health outcomes and reduced costs are possible if childhood developmental delays are recognized as early as possible. Unfortunately, in many cases, developmental delays are not identified until kindergarten or later — well beyond the time frame when treatments can be most effective. Early childhood screenings (ages 1, 2 and 3) provide an opportunity to refer children to the appropriate specialty care before problems worsen.
Oregon’s 2015 CCO quality metric for early childhood developmental screening measures the percentage of children that were screened for signs of developmental, behavioral and social delays using standardized screening tools in the 12 months before their first, second or third birthday.
The Oregon Health Authority (OHA) recommends the following tools:
- Ages and Stages Questionnaire (ASQ)
- Parents Evaluation of Developmental Status (PEDS), with or without the Developmental Milestones (DM)
- To ensure appropriate care is delivered in the appropriate setting
- To improve primary care for all populations
- To improve access to effective and timely care
How to bill for early childhood developmental screening
The Oregon Health Authority reimburses CPT code 96110 for physicians, nurse practitioners or physician assistants. The reimbursement is based on the provider’s time reviewing the results and interpreting the findings with the family.
Read our Developmental Screening Reimbursement Guidelines for more information.