How To Use CPT Code 92618

CPT 92618 describes the evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient, with each additional 30 minutes listed separately in addition to the code for the primary procedure. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 92618?

CPT 92618 can be used to describe the evaluation for prescription of a non-speech-generating augmentative and alternative communication device. This code is used when a provider conducts a face-to-face evaluation with the patient and her parents or caregivers to assess the need for a communication device, such as a touch screen monitor or communication board, for a child with severe speech or language problems.

2. Official Description

The official description of CPT code 92618 is: ‘Evaluation for prescription of non-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 92605.

3. Procedure

  1. The provider continues an initial session with the patient and her parents or caregivers for the prescription of a communication device.
  2. The provider conducts an interview with the patient to assess her ability to see, hear, move, and control her limbs properly.
  3. The provider evaluates the patient’s muscle strength, learning ability, and communication skills.
  4. The provider tests the patient’s understanding of symbols and interacts with the patient and family.
  5. The provider guides the patient and family on how to communicate better, including recommendations for non-speech-generating communication devices.
  6. If needed, the provider continues the evaluation or provides follow-up sessions for an additional 30 minutes.

4. Qualifying circumstances

Patients eligible for CPT 92618 are those who require an evaluation for a non-speech-generating augmentative and alternative communication device. This code is specifically used for patients with severe speech or language problems. The evaluation must be conducted face-to-face with the patient and her parents or caregivers.

5. When to use CPT code 92618

CPT code 92618 should be used when a provider conducts an evaluation for the prescription of a non-speech-generating augmentative and alternative communication device. This code is appropriate for patients with severe speech or language problems who require a communication device. It should be used in conjunction with CPT code 92605 for the initial one-hour session.

6. Documentation requirements

To support a claim for CPT 92618, the provider must document the following information:

  • Patient’s condition and the need for an evaluation for a non-speech-generating augmentative and alternative communication device
  • Details of the evaluation, including the interview, assessments, and tests conducted
  • Recommendations for non-speech-generating communication devices
  • Date, start and end time of the evaluation session
  • Additional sessions, if applicable
  • Signature of the provider conducting the evaluation

7. Billing guidelines

When billing for CPT 92618, ensure that the evaluation is conducted face-to-face with the patient and her parents or caregivers. Use the appropriate CPT code for the primary procedure (92605) and list CPT code 92618 separately for each additional 30 minutes of evaluation. This code should not be reported without the primary code. Follow the specific guidelines provided by the payer for accurate billing and reimbursement.

8. Historical information

CPT 92618 was added to the Current Procedural Terminology system on January 1, 2012. There have been no updates to the code since its addition.

9. Examples

  1. A speech-language pathologist conducting an evaluation for the prescription of a non-speech-generating augmentative and alternative communication device for a child with autism.
  2. An occupational therapist assessing the need for a communication board for a patient with cerebral palsy.
  3. A developmental psychologist conducting an evaluation for the prescription of a touch screen monitor for a child with Down syndrome.
  4. A special education teacher evaluating the use of symbols and pictures for a student with a language disorder.
  5. A neurologist assessing the need for an electronic communication device for a patient with a traumatic brain injury.
  6. A pediatrician conducting an evaluation for the prescription of a communication app for a child with a genetic disorder.
  7. A rehabilitation therapist assessing the use of gestures and writing for a patient with a spinal cord injury.
  8. A neuropsychologist evaluating the need for a communication device for a patient with aphasia.
  9. A behavior analyst conducting an evaluation for the prescription of a communication board for a child with intellectual disabilities.
  10. A special education coordinator assessing the use of augmentative and alternative communication methods for a student with multiple disabilities.

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