If a nurse changes the diaper for a child receiving personal care services during a life skills class, is this billed under nursing services?
It would depend if the diaper changing required the special skills of a nurse, e.g. a child with Spina Bifida requiring the application of a salve – in this case, yes, the diaper change could be billed under nursing services. If the nurse only changed the diaper because the child felt comfortable with the school health professional in this case, no, the diaper change could not be billed under nursing services.
In order to bill SHARS for nursing services, it must be documented in the IEP. Billing the diaper change as a nursing service would depend on whether the diaper changing required the special skills of a nurse, e.g. a child with Spina Bifida requiring the application of a salve – in this case of a child with Spina Bifida, yes, the diaper change could be billed under nursing services. If the nurse only changed the diaper because the child felt comfortable with the school health professional in this case, no, the diaper change could not be billed under nursing services.
