Appendixes CPT copyright 2018 American Medical Association. All rights reserved. APPENDIX I: SAMPLE ASSESSMENT/TESTING TOOLS ||||||||||| 551 I. Sample Assessment/Testing Tools NOTE: These are provided as examples only the American Academy of Pediatrics implies no endorsement or restriction of code use to these instruments. If you choose to use an instrument not listed below, be sure it is validated/standardized. Instrument Abbreviation CPT® Code Ages & Stages Questionnaires—3rd Edition ASQ-3 96110 Ages & States Questionnaires: Social-Emotional, 2nd Edition ASQ:SE-2 96127 Australian Scale for Asperger’s Syndrome ASAS 96127 Beck Anxiety Inventory BAI 96127 Beck Depression Inventory BDI 96127 Beck Youth Inventories—2nd Edition BYI-2 96127 Beery-Buktenica Developmental Test of Visual-Motor Integration—6th Edition Beery VMI 96112 and 96113 Behavior Assessment System for Children—2nd Edition BASC-2 96127 Behavioral Rating Inventory of Executive Function BRIEF 96127 Child Behavior Checklist CBCL 96127 Children’s Depression Inventory 2 CDI 2 96127 Clinical Evaluation of Language Fundamentals—5th Edition CELF-5 96112 and 96113 Clinical Evaluation of Language Fundamentals—Preschool-2 CELF-Preschool-2 96112 and 96113 Columbia DISC Depression Scale 96127 Comprehensive Test of Nonverbal Intelligence—2nd Edition CTONI-2 96112 and 96113 Conners Comprehensive Behavior Rating Scales Conners CBRS 96127 Developmental Test of Visual Perception—3rd Edition DTVP-3 96112 and 96113 Hamilton Anxiety Rating Scale HAM-A 96127 Hamilton Rating Scale for Depression HRSD 96127 Kaufman Brief Intelligence Test—2nd Edition KBIT-2 96112 and 96113 Modified Checklist for Autism in Toddlers—Revised M-CHAT-R 96110 Multidimensional Anxiety Scale for Children—2nd Edition MASC 2 96127 NICHQ Vanderbilt Assessment Scales 96127 Parents’ Evaluation of Developmental Status PEDS 96110 Patient Health Questionnaire PHQ-2 or PHQ-9 96127 Peabody Picture Vocabulary Test—4th Edition PPVT-4 96112 and 96113 Pediatric Symptom Checklist PSC or PSC-Y 96127 Screen for Child Anxiety Related Disorders SCARED 96127 Test of Auditory Processing Skills—3rd Edition TAPS-3 96112 and 96113 Test of Language Competence—Expanded Edition TLC-Expanded 96112 and 96113 Test of Nonverbal Intelligence—4th Edition TONI-4 96112 and 96113 Test of Problem Solving 3—Elementary Version TOPS 3 Elementary 96112 and 96113 Test of Word Knowledge TOWK 96112 and 96113 Woodcock-Johnson Test of Cognitive Abilities—4th Edition WJ IV 96112 and 96113
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