knowledge/lexical/codes

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96110
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96110 accreditation required: Certification by the Illinois Department of Public Health (DPH) for vision and hearing assessments should be completed. criteria: and EP modifier when conducting a general developmental or an Autism Spectrum Disorder screen criteria: maximum billable quantity of 8 units for 96110 criteria: use CPT Code 96110 and EP modifier when conducting a general developmental or an ASD screen criteria: when conducting a general developmental or an Autism Spectrum Disorder screen criteria: with an approved or recommended standardized, validated general developmental screening tool disposition: not-stated disposition: payable-with-criteria medicaid-il code-disposition criteria: maximum billable quantity of 8 units for 96110 medicaid-il code-disposition effective-date: December 16, 2025 medicaid-md code-disposition criteria: may bill a maximum of two units of CPT 96110 on the same date of service when a screening tool for autism or a social-emotional screening tool is administered in addition to a general developmental screening tool. A standardized, validated tool must be used. medicaid-md code-disposition disposition: payable-with-criteria medicaid-md code-disposition payable-with-criteria: Providers may bill a maximum of two units of CPT 96110 on the same date of service when a screening tool for autism or a social-emotional screening tool is administered in addition to a general developmental screening tool. medicaid-nc code-disposition criteria: when conducting a general developmental or an ASD screen medicaid-nc code-disposition disposition: not-stated medicaid-nc code-disposition disposition: payable-with-criteria payable-with-criteria: Providers may bill a maximum of two units of CPT 96110 on the same date of service when a screening tool for autism or a social-emotional screening tool is administered in addition to a general developmental screening tool. A standardized, validated tool must be used. payable-with-criteria: The health plan shall require providers to use CPT Code 96110 and EP modifier when conducting a general developmental or an ASD screen. who may perform: Non-physician personnel administering vision, hearing, or developmental assessments to preschool and school age children must be appropriately trained to provide the assessment.601

Evidence receipt r12549

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