AMA CPT® Assistant - 2004 Issue 12 (December)
Special Otorhinolaryngologic Services (December 2004)
December 2004 pages 14-17 Coding Communication:Special Otorhinolaryngologic Services The function of the ears is to receive sound impulses and transmit them to the brain. The inner ear also houses the organs of balance. The nose allows air to enter the body and pass through the nasal cavity. After passing through the nasal cavity, the air reaches the pharynx, commonly known as the throat. The larynx, commonly known as the voice box, is the chamber located between the pharynx and the trachea. During the act of breathing, the vocal cords are separated to let air pass. During speech, they are...
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Article Overview
This CPT Assistant article explains the scope of special otorhinolaryngologic services and discusses how selected evaluation and treatment services are organized for speech, language, voice, augmentative and alternative communication, and swallowing function. It is aimed at coders, billers, speech-language pathologists, and other clinicians involved in ENT-related communication and swallowing assessments. The article provides broad guidance on service categories, clinical context, and distinctions among related CPT-reported evaluations without reproducing the full premium content.
Why This Topic Matters
These services overlap with routine office care and with one another, so understanding the article helps readers recognize the major CPT areas covered and the kinds of clinical scenarios addressed in ENT and communication-disorder reporting.
Article Sections
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December 2004 pages 14-17
Introductory context for the article and its focus on special otorhinolaryngologic services. It frames the broader ENT and communication-related topics discussed in the issue.
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Codes for the Evaluation and Treatment of Speech, Language, and Voice Communication Services
Overview of speech, language, and voice communication service categories and how they are presented within CPT reporting. The section introduces the general clinical settings and provider types involved.
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Assessment
Discussion of communication assessment as a clinical process, including broad areas commonly reviewed during evaluation. It describes how assessment focus varies with the patient’s presenting concerns.
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Clinical Example for CPT Code 92506
A clinical vignette illustrating the type of patient scenario associated with one communication evaluation service. The example shows how findings may be organized for reporting purposes.
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Clinical Example for CPT Codes 92507-92508
A clinical vignette describing a treatment scenario for communication disorder services. It demonstrates the kind of therapeutic plan and progress monitoring discussed in the article.
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Evaluation for Prescription for a Speech-generating Device
Introduction to evaluation services related to speech-generating and augmentative communication devices. The section explains the broader purpose of these assessments and the service context.
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Augmentative and Alternative Communication Assessment
Discussion of augmentative and alternative communication assessment considerations, including the general types of information reviewed. It covers the environment, patient factors, and communication supports involved.
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Clinical Indications
General indications and documentation elements associated with augmentative communication evaluation. The section focuses on the kinds of clinical factors that may be considered during assessment.
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Clinical Example for CPT Code 92607
A clinical vignette involving evaluation for an augmentative communication device. It illustrates the type of patient presentation and assessment components referenced in the article.
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Swallowing Function Evaluation
Overview of swallowing function evaluation and related diagnostic context. The section introduces the general clinical circumstances in which these services are considered.
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Glossary
Definitions of selected terminology used in the article. It provides background vocabulary related to hearing, speech, swallowing, and otolaryngology.
What You Will Learn
- How the article organizes special otorhinolaryngologic services into major CPT-covered service categories.
- What types of communication and swallowing evaluations are discussed at a high level.
- How augmentative and alternative communication assessments are presented in the article’s clinical context.
- What kinds of clinical examples and glossary terms support the article’s discussion.
Who Should Read This
- Medical coders
- Billing staff
- Speech-language pathologists
- Audiologists
- Otolaryngology/ENT clinicians
- Revenue cycle staff
Codes Discussed
Code Ranges Discussed
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