CPT® Code 92618

Official Description

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)

Common Language Description

The CPT® Code 92618 refers to the evaluation for the prescription of non-speech-generating augmentative and alternative communication (AAC) devices, conducted face-to-face with the patient. This code is specifically used for each additional 30 minutes of evaluation time and is listed separately in addition to the code for the primary procedure. Non-speech-generating AAC devices are designed to aid, supplement, or replace speech, enabling individuals to express their thoughts, needs, wants, and ideas without the need for voice output. Examples of these devices include communication books, boards, and electronic devices that utilize pictures, letters, words, and phrases to facilitate communication without verbalization. During the evaluation, a physician or speech-language pathologist engages with the patient in a direct encounter to assess their specific communication needs and limitations. This comprehensive assessment takes into account any speech limitations as well as other physical or learning disabilities that may affect communication. The professional reviews various AAC devices that could effectively meet the patient's communication requirements, demonstrating their use and allowing the patient to practice with different options. Ultimately, the evaluation aims to assist the patient in selecting the most suitable device to enhance their ability to communicate effectively.

1. Indications

The evaluation for the prescription of non-speech-generating augmentative and alternative communication devices is indicated for patients who have communication challenges due to various conditions. These may include:

Speech Limitations: Patients with conditions that impair their ability to produce speech, such as neurological disorders, developmental delays, or traumatic brain injuries.
Physical Disabilities: Individuals who may have physical limitations that prevent them from using traditional speech methods, including those with motor impairments or conditions like cerebral palsy.
Learning Disabilities: Patients who have cognitive challenges that affect their ability to communicate verbally, necessitating alternative methods of expression.

2. Procedure

The procedure for evaluating a patient for a non-speech-generating AAC device involves several key steps, which are detailed as follows:

Initial Assessment: The physician or speech-language pathologist begins with a comprehensive assessment of the patient's current communication abilities and limitations. This includes gathering information about the patient's medical history, speech capabilities, and any relevant physical or cognitive challenges that may impact communication.
Device Review: Following the initial assessment, the clinician reviews various AAC devices that may be appropriate for the patient. This includes discussing the features and functionalities of different devices, such as communication boards, books, or electronic devices that utilize symbols, pictures, or text.
Demonstration and Practice: The clinician demonstrates how each device works, allowing the patient to interact with and practice using the devices. This hands-on experience is crucial for determining which device the patient feels most comfortable with and which best meets their communication needs.
Selection of Device: Based on the evaluation and the patient's feedback during the practice sessions, the clinician assists the patient in selecting the AAC device that will most effectively support their communication goals. This decision is made collaboratively, considering the patient's preferences and specific requirements.

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 arise during the initial implementation of the device. Ongoing support may include additional training for the patient, family members, or caregivers on how to effectively use the device in various communication contexts. It is also important to monitor the patient's progress and make any necessary adjustments to the device or communication strategies to optimize its effectiveness. Regular follow-up evaluations may be scheduled to reassess the patient's communication needs and the appropriateness of the selected AAC device over time.

Short Descr	EX FOR NONSPEECH DEV RX ADD
Medium Descr	EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV ADD 30 MIN
Long Descr	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)
Status Code	Bundled Code
Global Days	ZZZ - Code Related to Another Service
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)	M5C - Specialist - ophthalmology
MUE	1
CCS Clinical Classification	220 - Ophthalmologic and otologic diagnosis and treatment

This is an add-on code that must be used in conjunction with one of these primary codes.

92605

MPFS Status: Bundled Code APC A PUB 100 CPT Assistant Article Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour