Developmental screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument
CPT4 code
Name of the Procedure:
Developmental Screening (e.g., Developmental Milestone Survey, Speech and Language Delay Screen)
Summary
Developmental screening is a procedure that involves the evaluation of a child's growth and progress in areas like speech, language, motor skills, and social behaviors. It uses standardized instruments to score and document various developmental milestones.
Purpose
Developmental screening is used to identify children who may have developmental delays or disorders. The goal is to detect issues early so that appropriate interventions can be started, improving long-term outcomes.
Indications
- Children displaying delayed speech or language skills.
- Children exhibiting slow progress in motor skills, social interactions, or cognitive functions.
- Routine check-ups during well-child visits, typically at 9, 18, and 30 months of age, or whenever there is concern.
Preparation
- No special preparation is usually needed for the child.
- Parents may be asked to fill out questionnaires about their child’s behavior and skills beforehand.
Procedure Description
- The healthcare provider will observe the child and ask the parents questions.
- The standardized instrument involves a series of structured tasks or questions tailored to the child's age.
- The child's responses and behaviors are scored based on predefined criteria.
- The scores are then documented and interpreted to assess if the child is on track with developmental milestones.
Duration
The screening typically takes about 20-30 minutes.
Setting
The procedure is usually performed in outpatient clinics, pediatrician’s offices, or during well-child visits.
Personnel
The procedure is usually conducted by pediatricians, nurses, or trained healthcare professionals specializing in child development.
Risks and Complications
- Minimal to no risk associated with the screening itself.
- Psychological stress or anxiety for parents worried about potential developmental issues.
Benefits
- Early identification of developmental delays.
- Prompt initiation of interventions and therapies to improve developmental outcomes.
- Reassurance for parents if development is on track.
Recovery
- No recovery time is needed as this is a non-invasive procedure.
- Parents might receive recommendations for follow-up evaluations or interventions if delays are detected.
Alternatives
- Caregivers can opt for more comprehensive evaluations by specialists, such as a developmental pediatrician or a child psychologist.
- Regular observational methods by parents without standardized scoring.
Patient Experience
- The child may experience a range of normal behaviors from cooperation to reluctance, depending on temperament.
- Parents might feel a mix of emotions ranging from relief to anxiety based on the screening results.
- Comfort measures include interacting with toys, games, or familiar items to put the child at ease.