LSC - Lead Screening in Children - HEDIS
Product Lines:
Priority Partners.
Eligible Population:
Members 2 years of age as of December 31 of the measurement year. This includes Value Based Purchasing (VBP) for Priority Partners.
Definition:
Children must have at least one capillary or venous blood tests on or before their second birthday.
Eligibility criteria:
- Enrolled on the child’s second birthday:
- Continuously enrolled 12 months prior to the child’s second birthday.
Best Practice and Measure Tips
- Assessment alone does not meet criteria for this measure – be sure to order the blood test and be sure it is completed.
- Document in the medical record the date the test was performed and the result or findings. “Unknown” is not considered a result/finding.
- Educate parents on the importance of screening for lead poisoning – while the child may not be exposed at home, other environments may present a new risk.
- Visit the MD Department of Health and the Centers for Disease Control and Prevention (CDC) website for additional information for providers and parents / caregivers:
Measure Exclusions
Required Exclusion:
- Members in hospice or using hospice services anytime during the measurement year.
- Members who died any time during the measurement year.
Measure Codes
Lead Test
- CPT Codes: 83655
- LOINC Codes: 10368-9, 10912-4, 14807-2, 17052-2, 25459-9, 27129-6, 32325-3, 5671-3, 5674-7, 77307-7