Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care
CPT4 code
Name of the Procedure:
Developmental Test Administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments)
Summary
A developmental test administration is a series of assessments conducted by a physician or other qualified healthcare provider to evaluate various aspects of a child's development. These include fine and gross motor skills, language abilities, cognitive level, social skills, memory, and executive function.
Purpose
This procedure aims to identify any developmental delays or abnormalities in children. It helps in early detection of conditions such as autism spectrum disorders, ADHD, speech and language delays, and other cognitive or motor impairments. The ultimate goal is to guide interventions and support to enhance the child's development and quality of life.
Indications
- Concerns about a child's developmental milestones
- Symptoms such as delayed speech, difficulty in coordination, social withdrawal, or learning difficulties
- Children with a family history of developmental disorders
- Routine developmental check-ups in pediatric care
Preparation
- No specific fasting or medication adjustments are usually required.
- Parents may be asked to provide a developmental history and complete questionnaires.
- Ensure the child is well-rested and comfortable.
- Bring any previous medical records and details of the child’s developmental history.
Procedure Description
- The healthcare provider will interact with the child and parents, gathering detailed developmental history.
- Standardized developmental instruments and questionnaires will be used to assess various domains:
- Fine and gross motor skills through tasks like stacking blocks or catching a ball.
- Language skills through picture naming, following instructions, and conversations.
- Cognitive level through problem-solving tasks, memory games, and puzzles.
- Social interactions and behaviors through observations, role-play, and social scenarios.
- The child's responses and behaviors are recorded and scored according to standardized criteria.
- The results are analyzed to determine if any developmental delays or abnormalities are present.
Duration
The procedure typically takes 1 to 2 hours to complete, depending on the complexity and the child's needs.
Setting
Usually performed in a pediatric clinic, outpatient center, or specialized developmental assessment facility.
Personnel
- Conducted by a physician (often a pediatrician, developmental pediatrician, or pediatric neurologist)
- May involve psychologists, speech therapists, occupational therapists, and other developmental specialists
Risks and Complications
- Very low risk; non-invasive procedure
- Possible stress or fatigue for the child from prolonged testing
- Inaccurate results due to fatigue, mood, or lack of cooperation
Benefits
- Early detection of developmental issues allowing timely intervention
- Tailored support and therapy plans to improve a child's developmental trajectory
- Reassurance for parents when normal development is confirmed
Recovery
- No recovery period required
- Some children may be tired and need rest following the assessment
Alternatives
- Regular follow-ups and observational evaluations by a pediatrician
- Parental reports and checklists without standardized testing
- Referral to specialists for specific concerns (e.g., speech therapist for speech delay)
Patient Experience
- The child may feel a mixture of boredom and enjoyment, depending on the activities involved.
- Care is taken to ensure the child's comfort, with breaks and encouragement provided as needed.
- Pain management is not applicable as the procedure is non-invasive. Comfort measures include a calm, supportive environment and parental presence.