Structured Screening of General Development & Behavioral Or Mental Health Risk

CCNC Pediatrics: School-Age & Adolescent Screening

Primary Screening- formal screening done with the total population to identify those who are at risk Secondary/Specific Screening- more specific screening done when risk is identified on a primary screen Structured Screening of General Development & Behavioral or Mental Health Risk for 6-10 Year Olds

Recommended Primary Screens Billing & Concern with Social-Emotional Focus Coding General psychosocial screening and functional Pediatric Symptom Checklist (PSC) assessment in the domains of attention, learning, 96127 + Mod externalizing and internalizing symptoms Strengths and Difficulties Brief, behavioral screening questionnaire designed to 96127 + Mod Questionnaire (SDQ) screen for mental health symptoms of children

Recommended Secondary/Specific Billing & Concern Screens Coding Vanderbilt, Conners ADHD/learning 96127 + Mod SCARED Anxiety 96127 + Mod CES-DC, Child Depression Inventory Depression 96127 + Mod (CDI)

**The provider must document: Screening tool used, results of the screening tool, discussion with parents, and any referrals made.**

Modifier: 96127 + Mod:

Medicaid  EP Can code up to 2 screens per visit Code pays $4.10 (if done at well visit OR E+M visit)

Engaging Adolescents: Healthcare for Teens

Video series available at: https://www.communitycarenc.org/population-management/pediatrics/engaging-adolescents/

CHIPRA Quality Demonstration Grant- December 2015 (v5) CCNC Pediatrics: School-Age & Adolescent Screening

Primary Screening- formal screening done with the total population to identify those who are at risk Secondary/Specific Screening- more specific screening done when risk is identified on a primary screen Structured Screening of General Development & Behavioral or Mental Health Risk for 11-21 Year Olds Recommended Primary Risks & Billing & Concern Strengths Tools Coding Bright Futures Adolescent Assesses risks and strengths in domains of development, 99420 + Mod Supplemental Questionnaire social, emotional, and risk reduction Guidelines for Adolescent Preventive Assesses risks and strengths in domains of family, 99420 + Mod Services (GAPS) health, school, social, safety, and substance use Assesses each of the following domains for risk and protective factors: home, education/employment, eating, HEADSSS 99420 + Mod activities, drugs, sexuality, suicide/depression/self- image, safety, and nutrition

Recommended Primary Screens Billing & Concern with Social-Emotional Focus Coding General psychosocial screening and functional Pediatric Symptom Checklist-Youth assessment in the domains of attention, learning, 96127 + Mod (PSC-Y) externalizing and internalizing symptoms Strengths and Difficulties Brief, behavioral screening questionnaire designed to 96127 + Mod Questionnaire (SDQ) screen for mental health symptoms of children

Recommended Secondary/Specific Billing & Concern Screens Coding Vanderbilt, Conners ADHD/learning 96127 + Mod SCARED Anxiety 96127 + Mod

Patient Health Questionnaire-9 Modified for Adolescents (PHQ-9), Depression 96127 + Mod CES-DC, CDI 99408/99409 CRAFFT Substance Use + Mod **The provider must document: Screening tool used, results of the screening tool, discussion with parents, and any referrals made.** Modifier: 99420 + Mod: 96127 + Mod: CRAFFT: Can code up to 2 screens Can code up to 2 screens A minimum length of time in Medicaid  EP per visit per visit counseling is required for billing as below. Code pays $7.91 (if done Code pays $4.10 (if done 99408: $29.81 (15-30 min) at well visit OR E+M 99409: $58.60 (>30 min) visit) at well visit OR E+M visit) CHIPRA Quality Demonstration Grant- December 2015 (v5)