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Lead Screening in Children - MDH

VBP. Members age 12-23 months.

This is a Maryland Department of Health (MDH) Lead Measure for Children age12-23 months as of December 31 of the measurement year (i.e., children who turned one year of age during the measurement year) who meet the following criteria:

  • Continuously enrolled 90 or more days in a single HealthChoice MCO during the measurement year.
  • The child did not disenroll from a HealthChoice MCO before their first birthday.
  • The child is assigned to the last HealthChoice MCO in which the child was enrolled for at least 90 days in the measurement year.

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.
  • 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.

Measure Exclusions

Required Exclusion: Hospice

Measure Codes

Lead test is defined by the following:

  • CPT Codes: 83655 and 83645 (CPT Code 83645 was discontinued but is included in the lead value-based purchasing program).