CPT® Code 92605

Official Description

Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour

Common Language Description

The CPT® Code 92605 refers to the evaluation for the prescription of a non-speech-generating augmentative and alternative communication (AAC) device, conducted face-to-face with the patient for the first hour. Non-speech-generating AAC devices are designed to assist individuals in expressing their thoughts, needs, wants, and ideas without the need for vocalization. These devices can take various forms, including communication books, boards, or electronic devices that utilize pictures, letters, words, and phrases to facilitate communication. The evaluation process involves a direct interaction between the patient and a qualified professional, such as a physician or speech-language pathologist, who assesses the patient's specific communication challenges and any associated physical or cognitive disabilities. During this face-to-face encounter, the professional reviews different AAC options that may be suitable for the patient, demonstrating their use and allowing the patient to practice with them. This thorough assessment aims to identify the most appropriate AAC device tailored to the patient's unique communication requirements, ensuring that the selected device effectively supports their ability to communicate. For billing purposes, the code 92605 is utilized for the initial hour of this evaluation, while code 92618 is applicable for each additional 30 minutes of face-to-face evaluation time.

1. Indications

The evaluation for the prescription of a non-speech-generating augmentative and alternative communication device is indicated for patients who exhibit communication challenges due to various conditions. These may include, but are not limited to, the following:

Speech Limitations Patients with speech impairments that hinder their ability to communicate effectively.
Physical Disabilities Individuals with physical limitations that affect their ability to produce speech or use traditional communication methods.
Cognitive Disabilities Patients with learning disabilities or cognitive impairments that impact their communication abilities.
Neurological Conditions Individuals with conditions such as stroke, cerebral palsy, or other neurological disorders that affect speech production.

2. Procedure

The procedure for evaluating a patient for a non-speech-generating AAC device involves several key steps, each designed to ensure a comprehensive assessment of the patient's communication needs.

Initial Assessment The professional begins with an initial assessment of the patient's current communication abilities and limitations. This includes gathering information about the patient's medical history, existing speech capabilities, and any physical or cognitive challenges that may affect communication.
Device Review Following the assessment, the professional reviews various AAC devices that may be suitable for the patient. This includes discussing the features and functionalities of different devices, such as communication boards, books, or electronic devices that do not generate speech.
Demonstration The professional demonstrates the use of the selected AAC devices, providing the patient with a clear understanding of how each device operates. This step is crucial for helping the patient visualize how the device can facilitate their communication.
Practice Session The patient is then given the opportunity to practice using the different AAC devices. This hands-on experience allows the patient to become familiar with the devices and assess which one feels most comfortable and effective for their communication needs.
Final Selection Based on the evaluation and practice sessions, the professional assists the patient in selecting the AAC device that best meets their communication requirements. This decision is made collaboratively, taking into account the patient's preferences and feedback.

3. Post-Procedure

After the evaluation and selection of the AAC device, the patient may require follow-up sessions to ensure proper usage and to address any challenges that may arise. It is important for the patient, family, or caregiver to receive training on how to effectively use the chosen device. Ongoing support may be necessary to adapt the device to the patient's evolving communication needs and to provide additional practice opportunities. Regular follow-up evaluations may also be recommended to assess the effectiveness of the device and make any necessary adjustments.

Short Descr	EX FOR NONSPEECH DEVICE RX
Medium Descr	EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV F2F 1ST HR
Long Descr	Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour
Status Code	Bundled Code
Global Days	XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC)	9 - Not Applicable
Multiple Procedures (51)	9 - Concept does not apply.
Bilateral Surgery (50)	9 - Concept does not apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	9 - Concept does not apply.
Co-Surgeons (62)	9 - Concept does not apply.
Team Surgery (66)	9 - Concept does not apply.
Diagnostic Imaging Family	99 - Concept Does Not Apply
APC Status Indicator	Service Paid under Fee Schedule or Payment System other than OPPS
Type of Service (TOS)	1 - Medical Care
Berenson-Eggers TOS (BETOS)	O1F - Hearing and speech services
MUE	0
CCS Clinical Classification	220 - Ophthalmologic and otologic diagnosis and treatment

This is a primary code that can be used with these additional add-on codes.

92618

Addon Code Resequenced Code MPFS Status: Bundled Code APC A 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)

CQ	Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant
GN	Services delivered under an outpatient speech language pathology plan of care
GP	Services delivered under an outpatient physical therapy plan of care
KX	Requirements specified in the medical policy have been met