{"id":375,"date":"2021-10-13T00:58:14","date_gmt":"2021-10-13T05:58:14","guid":{"rendered":"https:\/\/wwwqa.cencalhealth.org\/?page_id=375"},"modified":"2023-09-06T14:41:09","modified_gmt":"2023-09-06T19:41:09","slug":"lead-testing","status":"publish","type":"page","link":"https:\/\/wwwqa.cencalhealth.org\/providers\/care-guidelines\/epsdt-services\/lead-testing\/","title":{"rendered":"Lead Testing"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row module_class=&#8221;banner&#8221; _builder_version=&#8221;4.19.4&#8243; _module_preset=&#8221;default&#8221; width=&#8221;100%&#8221; max_width=&#8221;100%&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/wwwqa.cencalhealth.org\/wp-content\/uploads\/2023\/06\/Lead_Testing.jpg&#8221; title_text=&#8221;Lead_Testing&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row module_class=&#8221;wide&#8221; _builder_version=&#8221;4.19.4&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][lwp_divi_breadcrumbs font_icon=&#8221;&#x35;||divi||400&#8243; link_color=&#8221;#2684c0&#8243; separator_color=&#8221;#000000&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; module_font_size=&#8221;12px&#8221; global_colors_info=&#8221;{}&#8221;][\/lwp_divi_breadcrumbs][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_4,1_2,1_4&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;2&#8243; module_class=&#8221;wide&#8221; _builder_version=&#8221;4.19.4&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;10px||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_sidebar area=&#8221;et_pb_widget_area_31&#8243; show_border=&#8221;off&#8221; module_class=&#8221;cencal-sidebar&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; header_text_color=&#8221;#FFFFFF&#8221; custom_css_title=&#8221;background-color: #2684C0;||padding: 1em 1em;&#8221; border_color_right=&#8221;RGBA(0,0,0,0)&#8221; global_colors_info=&#8221;{}&#8221; custom_css_widget__hover_enabled=&#8221;off|desktop&#8221;][\/et_pb_sidebar][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_blurb title=&#8221;Lead Testing&#8221; content_max_width=&#8221;100%&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; header_level=&#8221;h1&#8243; header_text_color=&#8221;#2684c0&#8243; custom_margin=&#8221;||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_blurb][et_pb_text _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Protocols and Tips for Pediatric Lead Testing<\/h2>\n<h3>Protocols for lead testing:<\/h3>\n<ul class=\"arrow-dark\">\n<li><strong>All CenCal Health members must be given a blood lead test at age 12 months and age 24 months at a minimum. <\/strong>Source:\u00a0<a href=\"https:\/\/www.cdph.ca.gov\/Programs\/CCDPHP\/DEODC\/CLPPB\/Pages\/screen_regs.aspx\" target=\"_blank\" rel=\"noopener\">California Department of Public Health <\/a><span style=\"text-decoration: underline;\">Utilize Lead Testing CPT code: 83655<\/span><\/li>\n<li>Provide the patient\u2019s parent or guardian with anticipatory guidance\/health education material about lead exposure screening.<br \/><a href=\"https:\/\/wwwqa.cencalhealth.org\/wp-content\/uploads\/2021\/10\/leadtest20210212.pdf\" target=\"_blank\" rel=\"noopener\">Download a handout here<\/a> or utilize our online health library, <a href=\"https:\/\/www.healthwise.net\/cencalhealth\/Content\/StdDocument.aspx?DOCHWID=hw8150\" target=\"_blank\" rel=\"noopener\">Lead (Pb) Test<\/a><\/li>\n<li>If a lead test is not administered, or if a parent declines\/refuses a lead test, document this in the patient\u2019s chart.<br \/><a href=\"https:\/\/wwwqa.cencalhealth.org\/wp-content\/uploads\/2023\/09\/Refusal-of-Blood-Lead-Testing-and-Anticipatory-Guidance-2023.pdf\" target=\"_blank\" rel=\"noopener\">Download<\/a>\u00a0a refusal form template<\/li>\n<li>Report any abnormal lead tests to your County\u2019s Department of Public Health and the California Lead Poisoning Prevention Branch<\/li>\n<\/ul>\n<h3>Here are some important notes and tips to promote lead testing in your practice:<\/h3>\n<ul class=\"arrow-dark\">\n<li>Include an alert in your EMR system or the patient\u2019s chart to screen for lead exposure at 12 &amp; 24 months\n<ul class=\"arrow-dark\">\n<li>Keep a chart alert for all patients under age 6 who\u2019ve never been tested for lead exposure<\/li>\n<\/ul>\n<\/li>\n<li><strong>Note that patients on any government assistance program are considered at-risk, and should be tested for lead exposure (this includes Medi-Cal\/CenCal Health eligibility)<\/strong><\/li>\n<li>Discuss the importance of lead exposure testing with parents at each well-child visit before 3 years of age<\/li>\n<li>Offer point-of-care lead testing in your office<\/li>\n<\/ul>\n<h3>For more information about pediatric lead exposure testing, you can to go:<\/h3>\n<ul class=\"arrow-dark\">\n<li><a href=\"https:\/\/wwwqa.cencalhealth.org\/wp-content\/uploads\/videos\/202102pedleadscreeningtrainingvideo.mp4\" target=\"_blank\" rel=\"noopener\">Watch CenCal Health&#8217;s Pediatric Lead testing Webinar<\/a>\u00a0(<a href=\"https:\/\/wwwqa.cencalhealth.org\/wp-content\/uploads\/2021\/10\/202102pedleadscreeningpresentation.pdf\" target=\"_blank\" rel=\"noopener\">Presentation Slides<\/a>)<\/li>\n<li><a href=\"https:\/\/www.cdph.ca.gov\/Programs\/CCDPHP\/DEODC\/CLPPB\/Pages\/prov.aspx\" target=\"_self\" rel=\"noopener\">Childhood Lead Poisoning Prevention Branch<\/a><\/li>\n<li><a href=\"https:\/\/www.aap.org\/en-us\/advocacy-and-policy\/aap-health-initiatives\/lead-exposure\/Pages\/Detection-of-Lead-Poisoning.aspx\" target=\"_blank\" rel=\"noopener\">American Academy of Pediatrics: Detection of Lead Poisoning<\/a><\/li>\n<li><a href=\"https:\/\/wwwqa.cencalhealth.org\/providers\/quality-of-care\/clinical-guidelines\/\" target=\"_self\" rel=\"noopener\">CenCal Health Clinical Guidelines<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/nceh\/lead\/advisory\/acclpp\/actions-blls.htm\" target=\"_blank\" rel=\"noopener\">CDC Recommended Actions Based on Blood Lead Level<\/a><\/li>\n<\/ul>\n<h4>If you have any questions about recommended lead exposure testing, please contact <a href=\"mailto:populationhealth@cencalhealth.org\" target=\"_blank\" rel=\"noopener\">populationhealth@cencalhealth.org<\/a><\/h4>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; 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_module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Protocols and Tips for Pediatric Lead Screening<\/h2>\n<h3>Protocols for lead testing:<\/h3>\n<ul class=\"arrow-dark\">\n<li><strong>All CenCal Health members must be given a blood lead test at age 12 months and age 24 months at minimum.\u00a0<\/strong>Source:\u00a0<a href=\"https:\/\/www.cdph.ca.gov\/Programs\/CCDPHP\/DEODC\/CLPPB\/Pages\/screen_regs.aspx\" target=\"_blank\" rel=\"noopener\">California Department of Public Health<\/a> Utilize Lead Testing CPT code: 83655<\/li>\n<li>Provide the patient\u2019s parent or guardian with anticipatory guidance\/health education material about lead exposure screening (download one here)<\/li>\n<li>If a lead test is not administered, or if a parent declines\/refuses lead test, document this in patient\u2019s chart.\n<ul class=\"arrow-dark\">\n<li><a href=\"https:\/\/wwwqa.cencalhealth.org\/wp-content\/uploads\/2021\/10\/refusal-of-recommended-lead-testing.pdf\" target=\"_blank\" rel=\"noopener\">Download<\/a>\u00a0a refusal form template<\/li>\n<\/ul>\n<\/li>\n<li>Report any abnormal lead tests to your County\u2019s Department of Public Health and the California Lead Poisoning Prevention Branch<\/li>\n<\/ul>\n<h3>Here are some important notes and tips to promote lead screening in your practice:<\/h3>\n<ul class=\"arrow-dark\">\n<li>Include an alert in your EMR system or the patient\u2019s chart to screen for lead exposure at 12 &amp; 24 months\n<ul class=\"arrow-dark\">\n<li>Keep a chart alert for all patients under age 6 who\u2019ve never been screened for lead exposure<\/li>\n<\/ul>\n<\/li>\n<li><strong>Note that patients on any government assistance program are considered at-risk, and should be screened for lead exposure (this includes Medi-Cal\/CenCal Health eligibility)<\/strong><\/li>\n<li>Discuss the importance of lead exposure screening with parents at each well child visit before 3 years of age<\/li>\n<li>Utilize CenCal Health\u2019s \u201cmembers due for lead testing\u201d reports available to you on the provider portal<\/li>\n<li>Offer point-of-care lead testing in your office<\/li>\n<\/ul>\n<h3>For more information about pediatric lead exposure screening, you can to go:<\/h3>\n<ul class=\"arrow-dark\">\n<li><a href=\"https:\/\/wwwqa.cencalhealth.org\/wp-content\/uploads\/videos\/202102pedleadscreeningtrainingvideo.mp4\" target=\"_blank\" rel=\"noopener\">Watch CenCal Health&#8217;s Pediatric Lead Screening Webinar<\/a>\u00a0(<a href=\"https:\/\/wwwqa.cencalhealth.org\/wp-content\/uploads\/2021\/10\/202102pedleadscreeningpresentation.pdf\" target=\"_blank\" rel=\"noopener\">Presentation Slides<\/a>)<\/li>\n<li><a href=\"https:\/\/www.cdph.ca.gov\/Programs\/CCDPHP\/DEODC\/CLPPB\/Pages\/prov.aspx\" target=\"_self\" rel=\"noopener\">Childhood Lead Poisoning Prevention Branch<\/a><\/li>\n<li><a href=\"https:\/\/www.aap.org\/en-us\/advocacy-and-policy\/aap-health-initiatives\/lead-exposure\/Pages\/Detection-of-Lead-Poisoning.aspx\" target=\"_blank\" rel=\"noopener\">American Academy of Pediatrics: Detection of Lead Poisoning<\/a><\/li>\n<li><a href=\"https:\/\/wwwqa.cencalhealth.org\/providers\/quality-of-care\/clinical-guidelines\/\" target=\"_self\" rel=\"noopener\">CenCal Health Clinical Guidelines<\/a><\/li>\n<li><a href=\"https:\/\/www.cdc.gov\/nceh\/lead\/advisory\/acclpp\/actions-blls.htm\" target=\"_blank\" rel=\"noopener\">CDC Recommended Actions Based on Blood Lead Level<\/a><\/li>\n<\/ul>\n<h4>If you have any questions about recommended lead exposure screening, please contact populationhealth@cencalhealth.org<\/h4>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_sidebar area=&#8221;et_pb_widget_area_6&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_sidebar][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p><div class=\"et_pb_module lwp_divi_breadcrumbs lwp_divi_breadcrumbs_0\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t<div class=\"lwp-breadcrumbs\"> <span class=\"before\"><\/span> <span vocab=\"https:\/\/schema.org\/\" typeof=\"BreadcrumbList\"><span property=\"itemListElement\" typeof=\"ListItem\"><a property=\"item\" typeof=\"WebPage\" href=\"https:\/\/wwwqa.cencalhealth.org\/\" class=\"home\"><span property=\"name\">Home<\/span><\/a><meta property=\"position\" content=\"1\"><\/span> <span class=\"separator et-pb-icon\">&#x35;<\/span> <\/span><\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>Protocols and Tips for Pediatric Lead Testing Protocols for lead testing: All CenCal Health members must be given a blood lead test at age 12 months and age 24 months at a minimum. Source:\u00a0California Department of Public Health Utilize Lead Testing CPT code: 83655 Provide the patient\u2019s parent [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":327,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/wwwqa.cencalhealth.org\/wp-json\/wp\/v2\/pages\/375"}],"collection":[{"href":"https:\/\/wwwqa.cencalhealth.org\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/wwwqa.cencalhealth.org\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/wwwqa.cencalhealth.org\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wwwqa.cencalhealth.org\/wp-json\/wp\/v2\/comments?post=375"}],"version-history":[{"count":34,"href":"https:\/\/wwwqa.cencalhealth.org\/wp-json\/wp\/v2\/pages\/375\/revisions"}],"predecessor-version":[{"id":18550,"href":"https:\/\/wwwqa.cencalhealth.org\/wp-json\/wp\/v2\/pages\/375\/revisions\/18550"}],"up":[{"embeddable":true,"href":"https:\/\/wwwqa.cencalhealth.org\/wp-json\/wp\/v2\/pages\/327"}],"wp:attachment":[{"href":"https:\/\/wwwqa.cencalhealth.org\/wp-json\/wp\/v2\/media?parent=375"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}