tci Outpatient Facility Coding Alert - 2013 Issue 8

Reader Question: Don't Compromise On Time When Reporting Aphasia

Question: Our neurologist assessed a stroke patient for aphasia and reported ICD-9 code 438.11 (Aphasia). How do we report this assessment? Maryland Subscriber  Answer: You report code 96105 (Assessment of aphasia [includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, e.g., by Boston Diagnostic Aphasia Examination] with interpretation and report, per hour) for assessment of aphasia. Included in the code are the administration of the test, scoring the test, interpretation of the various findings, formulating a diagnosis and developing treatment guidelines. Aphasia is a loss or compromise in...

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