How To Use CPT Code 92607

CPT 92607 describes the evaluation for prescription of a speech-generating augmentative and alternative communication device, conducted face-to-face with the patient for the first hour. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 92607?

CPT 92607 can be used to describe the evaluation conducted by a healthcare provider to determine the need for a speech-generating augmentative and alternative communication device for a patient. This code specifically represents the first hour of face-to-face interaction between the provider and the patient.

2. Official Description

The official description of CPT code 92607 is: ‘Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour.’

3. Procedure

1. The healthcare provider conducts an evaluation of the patient to assess their ability to communicate and determine the need for a speech-generating augmentative and alternative communication device.
2. The provider interacts with the patient, conducting various tests and assessments to evaluate their visual and auditory abilities, motor control, muscle strength, learning ability, and communication skills.
3. During the evaluation, the provider may ask the patient general questions about themselves and assess their understanding of different symbols and vocabulary.
4. The provider also interacts with the patient’s family and guides them on how to improve communication.
5. After the evaluation, the provider discusses the results with the patient and their family, provides recommendations for speech-generating devices, and writes a detailed report documenting the encounter.

4. Qualifying circumstances

CPT 92607 is used when a healthcare provider evaluates a patient for the prescription of a speech-generating augmentative and alternative communication device. This evaluation is conducted face-to-face with the patient for the first hour. It is important to note that this code is specific to the evaluation for a speech-generating device and should not be used for evaluations related to voice prosthetic devices or non-speech-generating devices.

5. When to use CPT code 92607

CPT code 92607 should be used when a healthcare provider conducts an evaluation for the prescription of a speech-generating augmentative and alternative communication device. This code is appropriate for the first hour of face-to-face interaction between the provider and the patient. It should not be used for subsequent evaluations or for evaluations related to other types of devices.

6. Documentation requirements

To support a claim for CPT 92607, the healthcare provider must document the following information:

• Patient’s condition and the need for a speech-generating augmentative and alternative communication device
• Details of the evaluation, including the tests and assessments conducted
• Date and duration of the evaluation
• Results of the evaluation and recommendations for speech-generating devices
• Signature of the healthcare provider conducting the evaluation

7. Billing guidelines

When billing for CPT 92607, ensure that the evaluation is conducted face-to-face with the patient for the first hour. This code should not be reported with other codes related to voice prosthetic devices or non-speech-generating devices. Additional time spent beyond the first hour should be reported using CPT code 92608. It is important to follow the specific guidelines provided by the payer when reporting and billing for CPT 92607.

8. Historical information

CPT 92607 was added to the Current Procedural Terminology system on January 1, 2003. There have been no updates or changes to the code since its addition.

9. Examples

1. A speech-language pathologist conducting an evaluation to determine the need for a speech-generating augmentative and alternative communication device for a patient with severe communication impairments.
2. An occupational therapist assessing a child with developmental disabilities to determine the most appropriate speech-generating device for their communication needs.
3. A neurologist evaluating a patient with a neurological disorder to assess their ability to communicate and recommend a suitable speech-generating device.
4. A rehabilitation specialist conducting an evaluation for a patient who has experienced a traumatic brain injury to determine the most effective communication device for their recovery.
5. A pediatrician evaluating a child with autism spectrum disorder to assess their communication abilities and recommend a speech-generating device to support their communication development.
6. A speech therapist conducting an evaluation for a patient with a progressive neurological condition to determine the need for a speech-generating augmentative and alternative communication device.
7. An audiologist assessing a patient with hearing loss and speech difficulties to determine the most appropriate speech-generating device for their communication needs.
8. A geriatrician evaluating an elderly patient with communication difficulties to recommend a speech-generating augmentative and alternative communication device that can enhance their quality of life.
9. A physical therapist conducting an evaluation for a patient with a spinal cord injury to assess their communication abilities and recommend a suitable speech-generating device.
10. A psychologist evaluating a patient with a cognitive impairment to determine the most effective speech-generating augmentative and alternative communication device for their communication needs.