Mental health/ Annually beginning at 3 Pediatric Symptom 96127: Brief emotional/ A maximum of 2 of 96127 will be reimbursed behavioral of age. Use of standardized Checklist (PSC-Y) behavioral assessment may per visit; OR assessment screening tool is Strengths and Difficulties be billed only when a recommended. Questionnaire (SDQ) standardized screening tool 96127 may be combined with other screening Ages and Stages codes (ex. 96110) for a maximum of 2 units of is used and results Questionnaire Social documented screening per visit – Emotional (ASQ-SE) Early Childhood Screening Assessment Depression Screening recommended PHQ-9 Modified for Teens Brief emotional/ A maximum of 2 units of 96127 will be screening annually beginning at 11 Pediatric Symptom behavioral assessment may reimbursed per visit; OR of age. If providers choose, Checklist (PSC-Y) be billed only when a they can with Center for Epidemiological 96127 may be combined with other screening standardized screening tool “pre-screen” PHQ-2 to determine if a Studies Depression Scale is used and results codes (ex. W7000) for a maximum of 2 units of longer standardized screening for Children (CES-DC) documented. PHQ-2 may screening per visit tool is needed. Beck Depression Inventory not be billed. (BDI) Substance use Annually beginning at 11 CRAFFT W7000: Alcohol and/or A maximum of 1 unit of W7000 will be assessment years of age; use of brief CAGE-AID substance use disorder reimbursed annually for recipients age 11 and up screening tool is screening may be billed only recommended. when a standardized may be combined with other screening codes (ex. 96127) for a maximum of 2 units of screening screening tool is used and Positive screens should be results documented. per visit followed by brief intervention and referral for W7020: Intervention; > 3 A maximum 4 interventions will be reimbursed treatment when indicated minutes up to 10 minutes annually per recipient age 11 and up (SBIRT: Screening, Brief Intervention, and Referral to Intervention; >10 Treatment) minutes up to 20 minutes W7022: Intervention; >20 minutes
Mental health/ behavioral assessment Annually beginning at 3 of age. Use of standardized screening tool is recommended. Pediatric Symptom Checklist (PSC-Y) Strengths and Difficulties Questionnaire (SDQ) Ages and Stages Questionnaire – Social Emotional (ASQ-SE) Early Childhood Screening Assessment 96127: Brief emotional/ behavioral assessment may be billed only when a standardized screening tool is used and results documented A maximum of 2 of 96127 will be reimbursed per visit; OR 96127 may be combined with other screening codes (ex. 96110) for a maximum of 2 units of screening per visit Depression screening Screening recommended annually beginning at 11 of age. If providers choose, they can “pre-screen” with PHQ-2 to determine if a longer standardized screening tool is needed. PHQ-9 Modified for Teens Pediatric Symptom Checklist (PSC-Y) Center for Epidemiological Studies Depression Scale for Children (CES-DC) Beck Depression Inventory (BDI) Brief emotional/ behavioral assessment may be billed only when a standardized screening tool is used and results documented. PHQ-2 may not be billed. A maximum of 2 units of 96127 will be reimbursed per visit; OR 96127 may be combined with other screening codes (ex. W7000) for a maximum of 2 units of screening per visit Substance use assessment Annually beginning at 11 years of age; use of brief screening tool is recommended. Positive screens should be followed by brief intervention and referral for treatment when indicated (SBIRT: Screening, Brief Intervention, and Referral to Treatment) CRAFFT CAGE-AID W7000: Alcohol and/or substance use disorder screening may be billed only when a standardized screening tool is used and results documented. W7020: Intervention; > 3 minutes up to 10 minutes Intervention; >10 minutes up to 20 minutes W7022: Intervention; >20 minutes A maximum of 1 unit of W7000 will be reimbursed annually for recipients age 11 and up may be combined with other screening codes (ex. 96127) for a maximum of 2 units of screening per visit A maximum 4 interventions will be reimbursed annually per recipient age 11 and up
Section_6_2017.docx