Diagnosed Conditions With a High Probability of Developmental Delay

NEW YORK STATE EARLY INTERVENTION PROGRAM

Diagnosed Conditions With a High Probability of Developmental Delay

A child diagnosed with any of the conditions on this list is automatically eligible for the Early Intervention (EI) program. EI evaluators will perform a complete multidisciplinary evaluation. The evaluation results along with other information about the child and family will be used to create an Individualized Family Service Plan for the child. Anyone can refer a child to EI by calling 311 and asking for Early Intervention, or by completing the Early Intervention referral form and selecting "Early Intervention" under "Reason for Referral."

Diagnosed Conditions With a High Probability of Developmental Delay

Miscellaneous conditions

Cleft palate (hard, soft or both) and/or lip (prior to surgical correction) or uvula

([WUHPHO\ORZELUWKZHLJKWOHVVWKDQJUDPVGXULQJWKH?UVWPRQWKVRIDJH &HUHEUDOSDOV\XQVSHFL?HGRWKHUDWD[LFDWKHWRLGVSDVWLFKHPLSOHJLFVSDVWLFGLSOHJLFRU spastic quadriplegic

Genetic syndromes or congenital problems

Angelman syndrome (AS) CHARGE syndrome Tyrosinemia Other disorders of tyrosine metabolism Disorders of tryptophan metabolism Other disorders of aromatic amino acid metabolism Alport syndrome Barth syndrome (BTHS) Smith-Lemli-Opitz (SLO) syndrome Trisomy 13 Trisomy 18 Trisomy 21 Fragile X chromosome Prader-Willi syndrome Fetal alcohol syndrome (dysmorphic)

ICD-10 Codes

Q35.1, Q35.3, Q35.5, Q35.7, Q35.9, Q36.0, Q36.1, Q36.9, Q37.0, Q37.1, Q37.2, Q37.3, Q37.4, Q37.5, Q37.8, Q37.9 P07.01, P07.02, P07.03 G80.0, G80.1, G80.2, G80.3, G80.4, G80.8, G80.9

Q93.5 Q87.8 E70.21 E70.29 E70.5 E70.8 Q87.81 E78.71 E78.72 Q91.4, Q91.5, Q91.6, Q91.7 Q91.0, Q91.1, Q91.2, Q91.3 Q90.0, Q90.1, Q90.2, Q90.9 Q99.2 Q87.1 Q86.0

Congenital malformations

Congenital malformation syndromes predominantly involving limbs Congenital malformation syndromes involving early overgrowth Congenital malformation syndromes with other skeletal changes 2WKHUVSHFL?HGFRQJHQLWDOPDOIRUPDWLRQV\QGURPHVQRWHOVHZKHUHFODVVL?HG 0XOWLSOHFRQJHQLWDOPDOIRUPDWLRQVQRWHOVHZKHUHFODVVL?HG 2WKHUVSHFL?HGFRQJHQLWDOPDOIRUPDWLRQV Ectrodactyly (split-hand malformation)

Other reduction defect or absence of the upper or lower limb

Arthrogryposis multiplex congenita (AMC) Phocomelia

6SLQDEL?GD

Muscular problems

Congenital hereditary muscular dystrophy Myotonic muscular dystrophy Congenital myopathies 2WKHUVSHFL?HGP\RSDWKLHV 8QVSHFL?HGP\RSDWK\ Werdnig-Hoffman disease or infantile spinal muscular atrophy (SMA) type 1 Spinal cord injury

Epilepsies

Localization-related focal partial idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, without status epilepticus Epileptic spasms, not intractable, with or without status epilepticus Epileptic spasms, intractable, with or without status epilepticus (SLOHSV\XQVSHFL?HGQRWLQWUDFWDEOHZLWKRXWVWDWXVHSLOHSWLFXV

Central nervous system (CNS) malformations or dysfunction

Microcephaly Hydrocephalus, communicating or obstructive Cystic periventricular leukomalacia Newborn intraventricular hemorrhage (IVH), grade IV Kernicterus Multiple anomalies of the brain: congenital cerebral cyst, macrocephaly, megalencephaly, porencephaly, encephalocele, arhinencephaly or holoprosencephaly (HPE), lissencephaly, septo-optic dysplasia, or reduction deformities of brain Agenesis of the corpus callosum (ACC) $UQROG&KLDULPDOIRUPDWLRQZLWKVSLQDEL?GDDQGRUK\GURFHSKDOXV

Q87.2 Q87.3 Q87.5 Q87.89 Q89.7 Q89.8 Q71.61, Q71.62, Q71.63 Q71.899, Q71.90, Q72.899, Q73.0, Q73.8, Q74.8 Q74.3 Q73.1 Q05.0, Q05.1, Q05.2, Q05.3, Q05.4, Q05.5, Q05.6, Q05.7, Q05.8, Q05.9

G71.0 G71.11 G71.2 G72.89 G72.9 G12.0 S14, S24, S34

G40.009

G40.821, G40.822 G40.823, G40.824 G40.909

Q02 G91.0, G91.1, Q03.1, Q03.8, Q03.9 P91.2 P52.22 P57.8, P57.9 Q01.0, Q01.1, Q01.2, Q01.8, Q01.9, Q04.1, Q04.2, Q04.3, Q04.4, Q04.5, Q04.6, Q04.8 Q04.0 Q07.01, Q07.02, Q07.03

Visual and ocular problems

Blindness or low vision, one or both eyes Optic disc coloboma Optic nerve hypoplasia Other disorders of the optic nerve Albinism Visual deprivation nystagmus Microphthalmos Absence of iris Congenital corneal malformations Congenital malformation of the optic disc 8QVSHFL?HGEDFNJURXQGUHWLQRSDWK\

Retinopathy of prematurity, stage 4 or 5, in one or both eyes

Dystrophies primarily involving the sensory retina or retinal pigment epithelium

Hearing loss

Conductive, sensorineural, or mixed conductive and sensorineural hearing loss

Congenital malformation of the ear with hearing impairment

Developmental, behavioral and emotional conditions

'\VSUD[LDVSHFL?FGHYHORSPHQWDOGLVRUGHURIPRWRUIXQFWLRQ Autistic disorder Asperger's syndrome Post-traumatic stress disorder Separation anxiety disorder of childhood Other childhood emotional disorders Reactive attachment disorder of childhood Other childhood disorders of social functioning $WWHQWLRQGH?FLWK\SHUDFWLYLW\GLVRUGHU$'+'FRPELQHGW\SH 8QVSHFL?HGEHKDYLRUDODQGHPRWLRQDOGLVRUGHUVZLWKRQVHWXVXDOO\RFFXUULQJLQFKLOGKRRG and adolescence

H54.0, H54.1, H54.10, H54.2, H54.3, H54.4, H54.5, H54.6, H54.7, H54.8 H47.311, H47.312, H47.313, H47.319 H47.033, H47.039 H47.099 E70.30 H55.03 Q11.2 Q13.1 Q13.4 Q14.2 H35.00 H35.151, H35.152, H35.153, H35.159, H35.161, H35.162, H35.163, H35.169, H35.179 H35.53, H35.54

H90.0, H90.11, H90.12, H90.2, H90.3, H90.41, H90.42, H90.5, H90.6, H90.71, H90.72, H90.8, H90.A11, H90.A12, H90.A21, H90.A22, H90.A31, H90.A32, H91.3 Q16.0, Q16.1, Q16.3, Q16.4, Q16.5, Q16.9

F82 F84.0, PDD F84.8, PDD F84.9 F84.5 F43.10, F43.12 F93.0 F93.8, F93.9 F94.1 F94.8 F90.2

F98.9

6.18

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