Fsa

[Guest susanyb]

Opinions please as to whether "educational assessments" for ADHD (which are not covered under our medical plan) would be eligible for reimbursement under the HCRA?

[Sandra Pearce]

Does a physician file this with a diagnosis code and CPT code for the service? If so what is the CPT code? You've already stated the diagnosis.

[Guest susanyb]

The testing is done with a psychologist and educational assessment professional. I don't see any ICD9 codes anywhere on the bills

[Sandra Pearce]

I don't believe something that is strictly educational and does not treat the disease would qualify. I asked about the coding because sometimes employees tell you one thing, or understand one thing, when the service is something entirely different.

[papogi]

Being that the IRS has recently made comments loosening their allowances for reimbursements related to diagnostic tests, I think this would be allowed. I know it's more of a mental disorder rather than physical, but I would allow it based on the intent of the recent comments.

[SLuskin]

I agree with papogi. The educational assessments are just another diagnostic tool. Payments made to a special school for a mentally impaired or physically disabled person can be reimbursed if the main reason for using the school is that its resources and programs are used to relieve the problem (ie schools for the blind, deaf). ADHD is a recognized disorder, and a parent may choose some educational programming as an alternative to prescription medication, which has come under alot of scrutiny lately.