Evaluative Services
Autism Spectrum Disorder Evaluation
Although Autism Spectrum Disorder is often diagnosed in childhood, there are occasions in which symptoms are misdiagnosed or overlooked earlier in an individual's life. These symptoms, including social difficulties, repetitive behaviors, restricted interests, and struggles with communication, can interfere significantly with an individual's social, educational, and occupational functioning. The treatment of Autism Spectrum Disorder is vastly different from that of other psychological concerns; therefore, accurate diagnosis is necessary to ensure appropriate and effective treatment can be pursued. The evaluation of Autism Spectrum Disorder differs from other evaluations in that it requires a structured clinical interview, interview with family or others who know the individual well (preferably since childhood), cognitive testing, testing of emotional and personality functioning, as well as the assessment of social cognition, awareness, and motivation. We are able to provide these evaluations to individuals starting at age 16.
Insurance coverage for ASD testing varies significantly by carrier and individual policy. While our office will provide specific CPT codes and units to be billed, it is the examinee's responsibility to verify coverage details with their insurance provider prior to testing. We cannot guarantee what portion of the evaluation will be covered by insurance, as this varies by carrier and individual policy benefits.
The examinee is responsible for:
- Verifying their insurance benefits
- Understanding their coverage limitations
- Confirming any pre-authorization requirements
- Being aware of out-of-pocket expenses
- Understanding their financial responsibility for non-covered services
While we will submit claims for covered services, the ultimate responsibility for understanding insurance coverage and any resulting financial obligations rests with the examinee. We encourage all examinees to contact their insurance provider directly to verify benefits and coverage specifics prior to beginning the evaluation process.
We cannot guarantee insurance reimbursement or coverage levels. Any services not covered by insurance will be the financial responsibility of the examinee.