How To Use CPT Code 92608

CPT 92608 describes the evaluation for prescription of a speech-generating augmentative and alternative communication device, conducted face-to-face with the patient. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 92608?

CPT 92608 can be used to describe the evaluation process for prescribing a speech-generating augmentative and alternative communication device. This evaluation is conducted face-to-face with the patient and involves assessing their ability to communicate and providing recommendations for improvement.

2. Official Description

The official description of CPT code 92608 is: ‘Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure).’ This code should be used in conjunction with CPT code 92607.

3. Procedure

1. The provider interacts with the patient, conducting various tests and observations to evaluate their ability to communicate.
2. During the evaluation, the provider assesses the patient’s vision, hearing, motor skills, muscle strength, learning ability, and understanding of symbols.
3. The provider also engages in a conversation with the patient, asking general questions to gather information about their communication abilities.
4. Based on the evaluation, the provider guides the patient and their family on how to improve communication and recommends speech-generating augmentative and alternative communication devices.
5. After the initial hour-long evaluation, if additional face-to-face interaction is required, each additional 30 minutes should be reported using CPT code 92608.

4. Qualifying circumstances

CPT 92608 is used when evaluating a patient for the prescription of a speech-generating augmentative and alternative communication device. The evaluation is conducted face-to-face with the patient, and additional time beyond the initial hour may be necessary to complete the evaluation thoroughly.

5. When to use CPT code 92608

CPT code 92608 should be used when evaluating a patient for the prescription of a speech-generating augmentative and alternative communication device. It is important to note that this code should only be reported in conjunction with CPT code 92607, which represents the initial hour-long evaluation.

6. Documentation requirements

To support a claim for CPT code 92608, the provider must document the following information:

• Details of the evaluation process, including tests conducted and observations made
• Results of the evaluation, including the patient’s communication abilities and areas for improvement
• Recommendations for speech-generating augmentative and alternative communication devices
• Date, start and end time of the evaluation
• Signature of the provider conducting the evaluation

7. Billing guidelines

When billing for CPT code 92608, ensure that the evaluation is conducted face-to-face with the patient. This code should be reported in addition to the primary procedure code, CPT code 92607. It is important to note that payers will not reimburse for CPT code 92608 if it is reported without the appropriate primary code.

8. Historical information

CPT code 92608 was added to the Current Procedural Terminology system on January 1, 2003. There have been no updates to the code since its addition.

9. Examples

1. A speech-language pathologist evaluating a patient’s communication abilities and recommending a speech-generating augmentative and alternative communication device after an initial hour-long evaluation.
2. An occupational therapist assessing a patient’s motor skills and ability to control their limbs for the prescription of a speech-generating augmentative and alternative communication device.
3. A neurologist conducting tests to evaluate a patient’s learning ability and understanding of symbols to determine the most suitable speech-generating augmentative and alternative communication device.
4. A pediatrician interacting with a child and their family to assess the child’s communication abilities and provide recommendations for a speech-generating augmentative and alternative communication device.
5. A rehabilitation specialist evaluating a patient’s ability to see, hear, and understand different symbols to determine the appropriate speech-generating augmentative and alternative communication device.
6. A psychologist conducting an interview with a patient to assess their communication abilities and provide guidance on improving communication through a speech-generating augmentative and alternative communication device.
7. A special education teacher evaluating a student’s vocabulary and ability to communicate to recommend a speech-generating augmentative and alternative communication device for educational purposes.
8. A physician assessing a patient’s communication abilities and providing recommendations for a speech-generating augmentative and alternative communication device to improve their quality of life.
9. A nurse practitioner interacting with a patient and their family to evaluate the patient’s communication abilities and recommend a speech-generating augmentative and alternative communication device for better communication in healthcare settings.
10. A clinical psychologist evaluating a patient’s ability to communicate and providing recommendations for a speech-generating augmentative and alternative communication device to support their mental health treatment.