Dollars $$ Sense This issue of Perspectives continues to spotlight clinical pathways for adult voice disorders. Specifically, the current issue directs our attention to topics such as alaryngeal speech, chronic cough, and spasmodic dysphonia. Dollars $$ Sense will address coding questions that speech-language pathologists may have about the available and appropriate ... Dollars $$ Sense
Dollars $$ Sense  |   July 01, 2009
Dollars $$ Sense
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Speech, Voice & Prosodic Disorders / Voice Disorders / Swallowing, Dysphagia & Feeding Disorders / Practice Management / Speech, Voice & Prosody / Dollars $$ Sense
Dollars $$ Sense   |   July 01, 2009
Dollars $$ Sense
SIG 3 Perspectives on Voice and Voice Disorders, July 2009, Vol. 19, 47-48. doi:10.1044/vvd19.2.47
SIG 3 Perspectives on Voice and Voice Disorders, July 2009, Vol. 19, 47-48. doi:10.1044/vvd19.2.47
This issue of Perspectives continues to spotlight clinical pathways for adult voice disorders. Specifically, the current issue directs our attention to topics such as alaryngeal speech, chronic cough, and spasmodic dysphonia. Dollars $$ Sense will address coding questions that speech-language pathologists may have about the available and appropriate use of Current Procedural Terminology (CPT) and International Classification of Diseases (ICD-9-CM) codes as they pertain to these disorders.
Q: I am performing a pre-operative evaluation of a patient who has been scheduled for a total laryngectomy. I am evaluating the patient's skills for immediate post-operative use of an electrolarynx and other augmentative communication strategies. The patient is encouraged to practice using an electrolarynx (without voice) so that I may assess articulation and intelligibility. In addition, I am assessing the patient's cognitive function and manual dexterity to assist in determining the most appropriate type of alternative communication device for the patient post-operatively. During this evaluation, I will explain the anatomical and functional changes that the patient may expect after the laryngectomy and describe other options available for communication including a tracheo-esophageal prosthesis. Which ICD-9 and CPT codes do I use?
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