Pediatric Coding Alert

Question: What is the best code for administering the M-CHAT screening? Do we need to include a modifier?

West Virginia Subscriber

Answer: Submit 96110 (Developmental testing; limited [e.g., Developmental Screening Test II, Early Language Milestone Screen], with interpretation and report) when you administer the Modified Checklist for Autism in Toddlers (M-CHAT), and include the appropriate E/M code. If you administer another screening during the same visit (such as the ASQ, Ages and Stages Questionnaire), report 96110 again and append modifier 59 (Distinct procedural service). Multiple screenings typically occur at a child's 10-month visit, following Bright Future Guidelines.