HEDIS Measure: Lead Screening in Children (LSC)

This measure tracks the percentage of children that receive a lead test before 2 years old.

If you are a pediatrician, then this blog post is for you!

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Measure requirenments:

  • Testing every child between the ages of 12 and 24 months old
  • If a child between the ages of 25 and 72 months, doesn’t have any Lead test documented – must be tested
  • Testing for children in high risk environments (ig. Old houses) – required
  • Follow-up for elevated results (≥ 3.5 µg/dL)

How to meet the measure?

  • Try to incorporate this test into the well child visits
  • Use EHR to flag any missing tests
  • Use EHR to capture the needed data
  • Don’t forget to report the results

Coding:

  • 83655 (Lead testing, blood
  • Vanipuncture coding-36415 (venous) or 36416 (capillary/fingerstick)
  • Counseling coding-Codes 99401-99404 may be used for preventive counseling regarding lead
  • ICD-10 coding- Z13.88: Screening for lead Z77.011: Contact with and (suspected) exposure to lead

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