AAPC - August DL Sale: 50% OFF
Results 1 to 6 of 6

Thread: Vanderbilt Assessment

  1. #1
    Join Date
    Apr 2007
    Posts
    11

    Default Vanderbilt Assessment

    AAPC: CPC Promo
    Is there a billable code for this assessment for ADD/ADHD? As i understand it code 96110 is a billable code for Autism screeing and so I am wondering if there is a code for the Vanderbilt assessment. Thank you.....I am new to Pediatric codeing.

  2. #2
    Join Date
    Apr 2007
    Location
    SALEM NH
    Posts
    283

    Default

    No. It is part of the E/M. The doctor goes over them during the visit/consultation to decide if pt meets criteria. Hope that helps.

  3. #3

    Default 96110 for scoring Vanderbilt rating scales

    Actually, you can bill 96110 to score the Vanderbilt scales. According to the AAP ADHD coding fact sheet:

    "The use of developmental screening instruments of a limited nature (eg, Developmental Screening Test II, Early Language Milestone Screen, PEDS, Ages and Stages, and Vanderbilt ADHD rating scales) is reported using CPT code 96110 (developmental testing; limited)."

    If more than 1 Vanderbilt is scored, you may biil multiple units of 96110.
    Carole Sterling, CPC

  4. #4
    Join Date
    Apr 2007
    Location
    SALEM NH
    Posts
    283

    Default

    Carole,

    I have checked the CPT book and it does not say you can use 96110 for Vanderbilts. I thought we were supposed to follow the AMA rules for coding as stated in the CPT manual not the AAP. I'd like to know if anyone else uses that code for the Vanderbilt paperwork. Thanks

  5. #5

    Default

    96110 is being replaced with G0451 as of 1/1/2012. After trying to decipher the medicare LCD I couldn't find anything that says that you can or cannot bill with the G0451 for the Vanderbilt.

  6. #6
    Join Date
    Apr 2007
    Location
    Kansas City Chapter
    Posts
    33

    Default

    We bill 96110 for ADHD vanderbilt forms. Check your Coding for Pediatrics book authored by American Academy of Pediatrics. In the 2012 edition look at page 60 which discusses this. Also on page 429 there is a Developmental Screening/Testing Coding Fact Sheet which discusses this as well.

    We also charge the 96110 for every form that is completed by a parent/teacher. Some payers pay, some deny as global and some drop to patient responsbiility.

Similar Threads

  1. 96127 Vanderbilt Screening
    By kricketts in forum Pediatrics
    Replies: 3
    Last Post: 01-04-2016, 05:50 PM
  2. Vanderbilt form
    By cperk in forum Behavioral Health
    Replies: 0
    Last Post: 12-03-2015, 10:23 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.