Pediatric Well Visit Screening Guide
Well-child visits are an important tool that health care providers use to screen for medical and developmental issues.
Click the links below to find helpful documents for Pediatric Well Visits
Health Check Guide
Requirements and recommendations for Medicaid and Health Choice
Health Check Billing Guide 2016 (Pages 85 and 86 contain a helpful table of the NC periodicity schedule and coding matrix)
American Academy of Pediatrics (AAP) Recommendations
Recommendations for Preventive Pediatric Health Care
Immunization Schedule
Schedule for Immunizations - CDC
Screening Information
Developmental and Social-Emotional Screening Table
Recommended Maternal Depression Screening
Edinburgh Postnatal Depression Scale 1 (EPDS) (Recommended that 2 screenings by completed between the ages of 1 month - 6 month of infant)
MOC Part IV - Maternal Depression
Dental Varnishing
Recommended from the first tooth eruption to age 3 1/2 years
CCNC Pediatrics: Information on Oral Health
Oral Health Risk Assessment Tools
Required Validated Screening Tools for Ages 0 - 5 Years
(Provider can choose to use either the ASQ, PEDS or PEDS DM)
Ages & Stages Questionnaire (ASQ)
Ages & Stages Questionnaire (ASQ) (Required at the 6 month, 12 month, 18 month or 24 month, 3 years, 4 years and 5 year Well Child Checks)
Parents' Evaluation of Developmental Status (PEDS)
PEDS - A surveillance and screening tool (Required at the 6 month, 12 month, 18 month or 24 month, 3 years, 4 years and 5 year Well Child Checks)
Parents' Evaluation of Developmental Status Developmental Milestones (PEDSDM)
PEDS: Developmental Milestones (DM) (Required at the 6 month, 12 month, 18 month or 24 month, 3 years, 4 years and 5 year Well Child Checks)
Required Validated Autism Screenings
Modified Checklist for Autism in Toddlers - Revised (MCHAT-R)
MCHAT-R Screening (Required at Ages 18 & 24 Months)
Recommended Validated Social-Emotional Surveillance Tools for Ages 6 - 10 Years
(Provider can choose to use either the PSC or SDQ)
Pediatric Symptom Checklist (PSC)
Bright Futures Pediatric Symptom Checklist (Recommended Annually for Ages 6 - 10 Years with every Well Child Check)
Strength & Difficulties Questionnaire (SDQ)
Strength & Difficulties Questionnaire (Recommended Annually Ages 6 - 10 Years with every Well Child Check)
Recommended Validated Social-Emotional Surveillance Tools for Ages 11 - 21 Years
Provider can choose to use either Bright Futures, GAPS, or HEADSS
Bright Futures (Recommended Annually for Ages 11-21 Years with every Well Child Check)
BF Parent Supplemental Questionnaire - Older Child/Early Adolescent Visits
BF Adolescent Supplemental Questionnaire - Older Child/Younger Adolescent Visits
BF Adolescent Supplemental Questionnaire - Early Adolescent Visits
BF Adolescent Supplemental Questionnaire - 15 to 17 Year Visits
BF Adolescent Supplemental Questionnaire - 18 to 21 Year Visits
GAPS (Recommended Annually for Ages 11-21 Years with every Well Child Check)
Guidelines for Adolescent Preventive Services - Younger Adolescent Questionnaire
Guidelines for Adolescent Preventive Services - Middle-Older Adolescent Questionnaire
HEADSSS (Recommended Annually for Ages 11-21 Years with every Well Child Check)
HEADSSS Assessment: Risk and Protective Factors
MOC Part IV Activity
MOC Part IV Activity - Comprehensive Adolescent Health Screening
Adolescent Substance Abuse Risk Screening
CRAFFT
Adolescent Depression Screening
PHQ-A
PHQ-9 Modified for Adolescents PHQ-A
ADHD Screening Tools
Vanderbilt
Vanderbilt ADHD Diagnostic Teacher Rating Scale
Vanderbilt ADHD Diagnostic Parent Rating Scale
Conners
Referral Process
CCNC Pediatrics: ABCD Referrals
Referral Form Developmental Screening & Surveillance
Pediatric Agency Referral List
School Health Assessments
NC Public Schools Health Assessment Transmittal Form
CCNC Guidance for completing NC Public Health Assessment Transmittal Form
Coding
CCNC Pediatrics: Guidance for coding for a same day well child check and sick visit
CCNC Pediatrics: Guidance for coding screenings
BMI Percentile
CCNC Pediatrics: Coding for BMI
For more information contact: Amanda Jarvis, LPN, Quality Improvement Specialist, 336.553.4452
Contact Us (336) 235-0930