CPT 96110: Developmental Screening
Developmental screening (e.g., developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument.
Why CPT 96110 Claims Get Denied
Claims billed under CPT 96110 are frequently denied or downcoded for the following reasons. Understanding these patterns helps your practice reduce denial rates and recover revenue faster.
Bundled with preventive visit
Screening instrument not standardized
Patient age does not meet screening guidelines
Not separately payable per payer policy
Billing Tips for CPT 96110
Bill per standardized instrument used (e.g., ASQ, M-CHAT, PEDS). Can bill multiple times if multiple standardized instruments are used. AAP recommends developmental screening at 9, 18, and 30 months. Many payers bundle with preventive visits — check payer policy.
Documentation Requirements
To support a clean claim for CPT 96110, your clinical documentation should include:
Specific standardized instrument used
Score documented
Interpretation of results
Referral if abnormal
Follow-up plan
Common Modifiers for CPT 96110
Reduce CPT 96110 Denials by 60%
RediClaim's pre-submission scrubber catches documentation gaps and coding errors before you submit, while the appeal generator handles denials that slip through.