Will my Insurance Cover my
The best way to
determine whether or not your insurance provider will provide coverage for your
appointment is to contact them directly. Especially if you require travel to
Some information you
might find useful in communicating with your insurance provider include:
- the name of the providers who will likely see your child in clinic
- the possible billing codes that could apply to your visit
- Your child’s diagnosis code
- If pre-authorization is required by your insurance company (may take several weeks)
While billing codes
are determined at the time of the appointment and we cannot guarantee which
services will be provided and which codes will be submitted for billing, the
codes listed below are commonly used in our clinic. In addition, our office
typically confirms your insurance coverage a few days prior to your appointment
as well, however we encourage you to call your insurance company in advance,
especially if you are going to be planning travel for your appointment.
companies may require pre-authorization, which can take several weeks for our
office to process and we will need to know in advance. Pre-authorization of
coverage and benefits by your insurance company does not always mean the
insurance company will pay for the services. Sometimes an insurance company will
pre-authorize a service, however then not pay for the visit. Any portion of the bill which is not covered
by your insurance is ultimately your responsibility. Children’s Hospital Colorado will help you
set up a payment plan if needed. Listed below are the billing codes most
commonly used in our clinic.
*Not all patients
will be billed with all codes but these are some which may be used*
99245 – Dr.
99354 – Dr.
Tartaglia extra time
96110 – Dr.
Tartaglia developmental behavioral screening
96111 – Dr.
Tartaglia developmental behavioral testing
97003 - Occupational
92506 - Speech and
Language Therapy Evaluation
– Q984 (former ICD 9 code is 758.7)
47,XXY Syndrome – Q985
(former ICD 9 code is 758.9AX)
47,XXX Syndrome -Q970
(former ICD 9 code is 758.81B)
Sex Chromosome Abnormality (if female)
Sex Chromosome Abnormality (if male)
company may require us to collect a co-payment for services at the time of your
Colorado accepts the following types of payment:
- Cash (in person only)
- Personal Check or Traveler’s Check
- Money Order
- American Express
Can my child be seen in clinic
if I don’t have insurance?
If you do not have
health insurance or other financial assistance, please call the hospital at
(720) 777-6422 and ask for Financial Aid. We can help determine eligibility for
financial aid programs that are available to you.
If you need to
self-pay for the appointment(s), contact our cost estimation team at
720-777-0720 and discuss with them what the possible costs may be in seeing our
Can my child be seen in clinic if
s/he has Medicaid outside of Colorado?
If your child has
Medicaid from another state, coverage will need to be determined based on if
your home state Medicaid is contracted with our hospital. You can contact your local Medicaid office or
please call our department at 720-777-6630 and inquire if our hospital and
providers are contracted with your local Medicaid insurance provider to
determine eligibility for coverage.
Can my child is now an adult, will you see him/her?
While we would love
to be able to see all ages, unfortunately our providers are licensed to
evaluate pediatric patients. However, we
are working diligently to build a collaborating team with adult providers both
locally and nationally. So you are
welcome to contact us or the national support group to try to identify an adult
provider or team that would be the best fit for your needs.
Is there a clinic like the
eXtraordinarY Kids Clinic closer to my home?
I am looking for more
information about prenatal screening or testing for X&Y Chromosome
Variations, can your clinic help me?
We have many
patients who call our clinic and schedule an appointment to better understand
their screening or test results during pregnancy. Please note, screening results are not
diagnostic, and therefore diagnostic testing is recommended (either before or
after pregnancy) to confirm if the child does in fact have an X&Y
chromosome variation, as there can be false positives from screening.
during pregnancy is either done by chorionic villus sampling (CVS) or
amniocentesis. The results from these
tests can determine if in fact the fetus has an X&Y chromosome variation,
as these tests are chromosome tests. Talk with your doctor to determine which
test may be right for you.
can also be pursued after the baby is born. The easiest way to do this for a
newborn is to request your doctor do this test on a blood sample taken from the
umbilical cord, also called “cord blood”at the time of the baby’s delivery.
In addition, there
are some valuable resources available to help patients understand genetic screening
and testing and X&Y chromosome variations during pregnancy. Some resources on YouTube are:
How can my child get tested to
determine if s/he has an X&Y Chromosome Variation?
X&Y chromosome variations are diagnosed from
chromosome tests, commonly known as a karyotype or a microarray, which are
typically done on a blood sample, but can also be done on skin as well. Many types of doctors, including
pediatricians, are comfortable ordering these tests, so talk with your doctor
to determine if testing is available through their office.
My child has an X&Y
Chromosome Variation. Now what?
reasons we don’t completely understand, there is significant variability among children
with X&Y chromosome variations. Some will not have many symptoms while
others may have several. Often children with X&Y chromosome variations
don’t look significantly different from their peers. Symptoms that can be seen
in these conditions can include medical problems, developmental
delays, learning disabilities and
Babies diagnosed prenatally or during infancy
with an X&Y chromosome variation should be monitored closely during early
developmental years (birth to 5), including standardized developmental
assessments to determine if early interventions are needed. Children with an
X&Y chromosome variation should have neuropsychological testing during
early academic years to monitor for learning disabilities, attentional problems,
and social/emotional concerns. Boys with extra X chromosomes need to be seen by
an endocrinologist during puberty to help monitor their testosterone levels.
clinic can evaluate your child for the various symptoms associated with their
diagnosis and provide you with additional information about their diagnosis.
While there is a lot of good information accessible through the
internet, there is also information on the internet that is not accurate, so
the source of information to be reliable, really matters. In addition, we also
know that families can benefit in many ways from connecting with each other and
hearing each other’s stories. Below are
some reliable and family connecting resources to share:
We would love to hear
to hear from you, so please reach out and contact us!
For general information and learn more
about our current research opportunities, contact:
eXtraordinarY Kids Clinic
Children’s Hospital Colorado
13123 East 16th Ave, B140
Aurora, CO 80045
For genetic counseling (prenatal or
pediatric) and clinic appointments, contact:
Susan Howell MS, CGC, MBA
Genetic Counselor & Clinic