How do I bill for…
Developmental screening, hearing screening, fluoride varnish
Developmental screening. A basic developmental screen should be included during each Care for Kids examination. Use the HCFA 1500 form with procedure codes 99381-99385 or 99391-99395. These procedure codes must be accompanied by an EPSDT modifier (XA, XB, XC, XD). Billing is allowed for follow up of concerns found during the screening exam that require further testing. At the follow up visit, use the appropriate CPT billing code for the test administered; 96110 and 96111 are two codes for developmental testing.
Hearing screening. Hearing tests such as whispered voice or tuning fork are considered part of the general screening service and are not billed separately. The audiology function tests of 92551-92553 are considered part of the screening exam and are not payable separately on the same date of service. Audiology function tests of 92555-2598 are not included in the health screen and are payable.
Fluoride varnish. Medicaid-enrolled physicians bill for application of fluoride varnish by using code W2203.