DECEMBER 2014

OF GOD

Seyede Fateme MohammadiMSc

Speech amp language pathology

Under the supervision

Atabak Vosughi

Speech and Language Disorders

Definition

Speech-language pathology is the treatment for the improvement or cure of communication disorders including speech language and swallowing disorders The term used to describe professionals in this discipline is speech and language pathologist (SLP)

Speech and Language Disorders

Definition

Speech-language pathology is the treatment for the improvement or cure of communication disorders including speech language and swallowing disorders The term used to describe professionals in this discipline is speech and language pathologist (SLP)

Definition

Speech-language pathology is the treatment for the improvement or cure of communication disorders including speech language and swallowing disorders The term used to describe professionals in this discipline is speech and language pathologist (SLP)

Description

The discipline of speech-language pathology includes professionals that are trained in the techniques strategies and interventions designed to improve or correct communication disorders Communication disorders include disorders of speech language and swallowing

Language disorders include developmental or acquired conditions that lead to difficulties in understanding or producing language Speech-language pathologists participate in the screening assessment and treatment of patients who experience one or a combination of these disorders

CommunicationSpeech= audible representation of languageLanguage= message that is contained in speech

ldquoCopyrightcopy Allyn amp Bacon 2006rdquo

Verbal Communication

bull Face-to-facetalephoneradio or television amp other media

-Non Ve rbal Co

mmunication

bull Gestureshow we dress or act-ever our scentBody language

Writte n Com

munication

bull Iettersemailbookmagazinethe internet or via other media

Visualizationsbull Chartsgraphsmapslogos amp other

visulizations can communicate messages

Language disorders include developmental or acquired conditions that lead to difficulties in understanding or producing language Speech-language pathologists participate in the screening assessment and treatment of patients who experience one or a combination of these disorders

CommunicationSpeech= audible representation of languageLanguage= message that is contained in speech

ldquoCopyrightcopy Allyn amp Bacon 2006rdquo

Verbal Communication

bull Face-to-facetalephoneradio or television amp other media

-Non Ve rbal Co

mmunication

bull Gestureshow we dress or act-ever our scentBody language

Writte n Com

munication

bull Iettersemailbookmagazinethe internet or via other media

Visualizationsbull Chartsgraphsmapslogos amp other

visulizations can communicate messages

CommunicationSpeech= audible representation of languageLanguage= message that is contained in speech

ldquoCopyrightcopy Allyn amp Bacon 2006rdquo

Verbal Communication

bull Face-to-facetalephoneradio or television amp other media

-Non Ve rbal Co

mmunication

bull Gestureshow we dress or act-ever our scentBody language

Writte n Com

munication

bull Iettersemailbookmagazinethe internet or via other media

Visualizationsbull Chartsgraphsmapslogos amp other

visulizations can communicate messages

ldquoCopyrightcopy Allyn amp Bacon 2006rdquo

Verbal Communication

bull Face-to-facetalephoneradio or television amp other media

-Non Ve rbal Co

mmunication

bull Gestureshow we dress or act-ever our scentBody language

Writte n Com

munication

bull Iettersemailbookmagazinethe internet or via other media

Visualizationsbull Chartsgraphsmapslogos amp other

visulizations can communicate messages

The system of symbols that individuals use for communication

based on their culture

Expressive Language

Receptive Language

5 Components of Language

Phonology

Morphology

Syntax

Form

Semantics

Content

Pragmatics

Function

(usage)

Structure of language(linguistic approach)

Phonology = rules regarding how sounds can be used and combined

Syntax = the way sequences of words are combined into phrases and sentences

Morphology = the form and internal structure of words

Semantics = the understanding of language

Pragmatics = rules that govern the reasons for communication as well as the choice of codes to be used when communicating

DefinitionLanguage process of cognitive involves

Memory Learning Message reception and processing Expressive skills

Language delays= sequence of development is intact but the rate is interrupted

Language disorders= sequence of language acquisition is not systematic or sequential

Language development

Stages in developing skills language Crying then cooing growling and babbling by age

0-9(m)Different tones and vocal intensityEchoing or mimicking responsesWords begin to become attached to people or

objects by age 12-15(m)Strings of two and three words by age 18-24(m)Basic syntactical structures by age 4Six word sentences by age 5Articulate nearly all the speech sounds correctly by

age 8

13

Etiology of Speech and Language

Impairments

Language Disorders(for example)

Central Auditory Processing Disorder

Specific language impairment

Language delay

Aphasia

Classification(According to cause)

Receptive language = difficulties in comprehending what others say

Expressive language = difficulty in formulating and using language

Aphasia = impairment of language comprehension formulation and use due to injury disease or mal-development of the brain

Receptive Language Problems

Encounters difficulty with understanding oral presentation of informationDoes not understand humor figurative language or abstract thought

Expressive Language Problems

Limited use of vocabularySearches for the right wordPoor social language skillsHesitates to ask questionsJumps from topic to topicTopics chosen are concrete rather than

abstract temporal or spatialRepetitive and unspecific

Dimensions of Speech

VoicePitch intensity

qualityResonanceArticulationFluency

Speech disorders can occur in all of these areas

Speech disordersSpeech behavior that is sufficiently deviant from normal that it attracts attention

Fluency Disorders

Repeated interruptions hesitations or repetitions that seriously interrupt the flow of communication

Cluttering = speech that is overly rapid disorganized and occasionally filled with unnecessary words

Stuttering = flow of speech is abnormally interrupted by repetitions blocking or prolongations of sounds syllables words or phrases

Childhood apraxia of speech

Speech disordersArticulation Disorders

Abnormality in the speech-sound production process resulting in inaccurate or otherwise inappropriate execution of the speaking act

Omissions Substitutions Additions Distortions of certain sounds

Causation Physical malformation nerve injury or brain damage

Cleft palateOcclusionmalocclusionDefective learning of the speaking act

ldquordquo

Causation

Speech disordersVoice Disorders

Unusual or abnormal acoustical qualities in a personrsquos speech

Subjectivity in determining voice normalcyProblems are persistent when not treated

Nasality hoarseness or breathiness

Prevalence of Speech Language Disorders

11-12 of all students receiving special education

21 ratio boys to girls

Does not include students who receive speech and language therapy as a related service

Causes of Speech and Language Disorders

Biological causes Physical causes Emotional causes Brain injury Heredity

Environmental causes Neglect or abuse Poverty malnutrition

Speech Assessments

Formal tests of articulation ( phonetic amp hellip)

Spontaneous conversation samples(TOLD amp hellip)

Developmental history

Examination of mouth teeth palate (oral motor function)

Language AssessmentsFormal and informal assessmentsSamples of studentrsquos written schoolworkObservations

What child talks about How child talks about things How child functions in context of community How child uses language socially

Communication and Technology

Augmentative and alternative communication (AAC)

Unaided (low Tech) sign language

Aided (high Tech) depends on equipment or materials

Communication boardComputer with speech

processorWord prediction software

Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)

1048635 Swallowing Function

1048635 Treatment of swallowing dysfunction andor

oral function for feeding 92526

1048635 Evaluation of oral amp pharyngeal swallowing

Function 92610

1048635 Motion fluoroscopic evaluation of swallowing

function by cine or video recording 92611

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing by cine or video recording 92612

1048635 physician interpretation and report only 92613

1048635 Flexible fiberoptic endoscopic evaluation

laryngeal sensory testing by cine or video

Recording 92614

1048635 physician interpretation and report only 92615

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing and laryngeal sensory testing 92616

1048635 physician interpretation and report only 92617

Speech and Language

1048635 Evaluation of speech language voice

communication andor auditory processing 92506

1048635 Treatment of speech language voice

communication andor auditory processing

disorder

individual 92507

1048635 group two or more individuals 92508

1048635 Development of cognitive skills to improve

attention memory problem solving direct

one-on-one patient contact by the provider

each 15 minutes 97532

1048635 Sensory integrative techniques to enhance

sensory processing and promote adaptive

responses to environmental demands each

15 minutes 97533

1048635 Nasopharyngoscopy w endoscope 92511

1048635 Laryngeal function studies 92520

1048635 Evaluation of auditory rehabilitation status1st hour 92626

1048635 each additional 15 minutes 92627

1048635 PROCEDURE CPT CHARGE

1048635 Auditory rehabilitation pre-lingual hearing

Loss 92630

1048635 Auditory rehabilitation post-lingual hearing

loss 92633

1048635 Assessment of aphasia with interpretation

and report per hour 96105

1048635 Developmental testing limited winterpretation and report 96110

1048635 extended with interpretation and report 96111

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

5 Components of Language

Phonology

Morphology

Syntax

Form

Semantics

Content

Pragmatics

Function

(usage)

Structure of language(linguistic approach)

Phonology = rules regarding how sounds can be used and combined

Syntax = the way sequences of words are combined into phrases and sentences

Morphology = the form and internal structure of words

Semantics = the understanding of language

Pragmatics = rules that govern the reasons for communication as well as the choice of codes to be used when communicating

DefinitionLanguage process of cognitive involves

Memory Learning Message reception and processing Expressive skills

Language delays= sequence of development is intact but the rate is interrupted

Language disorders= sequence of language acquisition is not systematic or sequential

Language development

Stages in developing skills language Crying then cooing growling and babbling by age

0-9(m)Different tones and vocal intensityEchoing or mimicking responsesWords begin to become attached to people or

objects by age 12-15(m)Strings of two and three words by age 18-24(m)Basic syntactical structures by age 4Six word sentences by age 5Articulate nearly all the speech sounds correctly by

age 8

13

Etiology of Speech and Language

Impairments

Language Disorders(for example)

Central Auditory Processing Disorder

Specific language impairment

Language delay

Aphasia

Classification(According to cause)

Receptive language = difficulties in comprehending what others say

Expressive language = difficulty in formulating and using language

Aphasia = impairment of language comprehension formulation and use due to injury disease or mal-development of the brain

Receptive Language Problems

Encounters difficulty with understanding oral presentation of informationDoes not understand humor figurative language or abstract thought

Expressive Language Problems

Limited use of vocabularySearches for the right wordPoor social language skillsHesitates to ask questionsJumps from topic to topicTopics chosen are concrete rather than

abstract temporal or spatialRepetitive and unspecific

Dimensions of Speech

VoicePitch intensity

qualityResonanceArticulationFluency

Speech disorders can occur in all of these areas

Speech disordersSpeech behavior that is sufficiently deviant from normal that it attracts attention

Fluency Disorders

Repeated interruptions hesitations or repetitions that seriously interrupt the flow of communication

Cluttering = speech that is overly rapid disorganized and occasionally filled with unnecessary words

Stuttering = flow of speech is abnormally interrupted by repetitions blocking or prolongations of sounds syllables words or phrases

Childhood apraxia of speech

Speech disordersArticulation Disorders

Abnormality in the speech-sound production process resulting in inaccurate or otherwise inappropriate execution of the speaking act

Omissions Substitutions Additions Distortions of certain sounds

Causation Physical malformation nerve injury or brain damage

Cleft palateOcclusionmalocclusionDefective learning of the speaking act

ldquordquo

Causation

Speech disordersVoice Disorders

Unusual or abnormal acoustical qualities in a personrsquos speech

Subjectivity in determining voice normalcyProblems are persistent when not treated

Nasality hoarseness or breathiness

Prevalence of Speech Language Disorders

11-12 of all students receiving special education

21 ratio boys to girls

Does not include students who receive speech and language therapy as a related service

Causes of Speech and Language Disorders

Biological causes Physical causes Emotional causes Brain injury Heredity

Environmental causes Neglect or abuse Poverty malnutrition

Speech Assessments

Formal tests of articulation ( phonetic amp hellip)

Spontaneous conversation samples(TOLD amp hellip)

Developmental history

Examination of mouth teeth palate (oral motor function)

Language AssessmentsFormal and informal assessmentsSamples of studentrsquos written schoolworkObservations

What child talks about How child talks about things How child functions in context of community How child uses language socially

Communication and Technology

Augmentative and alternative communication (AAC)

Unaided (low Tech) sign language

Aided (high Tech) depends on equipment or materials

Communication boardComputer with speech

processorWord prediction software

Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)

1048635 Swallowing Function

1048635 Treatment of swallowing dysfunction andor

oral function for feeding 92526

1048635 Evaluation of oral amp pharyngeal swallowing

Function 92610

1048635 Motion fluoroscopic evaluation of swallowing

function by cine or video recording 92611

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing by cine or video recording 92612

1048635 physician interpretation and report only 92613

1048635 Flexible fiberoptic endoscopic evaluation

laryngeal sensory testing by cine or video

Recording 92614

1048635 physician interpretation and report only 92615

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing and laryngeal sensory testing 92616

1048635 physician interpretation and report only 92617

Speech and Language

1048635 Evaluation of speech language voice

communication andor auditory processing 92506

1048635 Treatment of speech language voice

communication andor auditory processing

disorder

individual 92507

1048635 group two or more individuals 92508

1048635 Development of cognitive skills to improve

attention memory problem solving direct

one-on-one patient contact by the provider

each 15 minutes 97532

1048635 Sensory integrative techniques to enhance

sensory processing and promote adaptive

responses to environmental demands each

15 minutes 97533

1048635 Nasopharyngoscopy w endoscope 92511

1048635 Laryngeal function studies 92520

1048635 Evaluation of auditory rehabilitation status1st hour 92626

1048635 each additional 15 minutes 92627

1048635 PROCEDURE CPT CHARGE

1048635 Auditory rehabilitation pre-lingual hearing

Loss 92630

1048635 Auditory rehabilitation post-lingual hearing

loss 92633

1048635 Assessment of aphasia with interpretation

and report per hour 96105

1048635 Developmental testing limited winterpretation and report 96110

1048635 extended with interpretation and report 96111

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

Structure of language(linguistic approach)

Phonology = rules regarding how sounds can be used and combined

Syntax = the way sequences of words are combined into phrases and sentences

Morphology = the form and internal structure of words

Semantics = the understanding of language

Pragmatics = rules that govern the reasons for communication as well as the choice of codes to be used when communicating

DefinitionLanguage process of cognitive involves

Memory Learning Message reception and processing Expressive skills

Language delays= sequence of development is intact but the rate is interrupted

Language disorders= sequence of language acquisition is not systematic or sequential

Language development

Stages in developing skills language Crying then cooing growling and babbling by age

0-9(m)Different tones and vocal intensityEchoing or mimicking responsesWords begin to become attached to people or

objects by age 12-15(m)Strings of two and three words by age 18-24(m)Basic syntactical structures by age 4Six word sentences by age 5Articulate nearly all the speech sounds correctly by

age 8

13

Etiology of Speech and Language

Impairments

Language Disorders(for example)

Central Auditory Processing Disorder

Specific language impairment

Language delay

Aphasia

Classification(According to cause)

Receptive language = difficulties in comprehending what others say

Expressive language = difficulty in formulating and using language

Aphasia = impairment of language comprehension formulation and use due to injury disease or mal-development of the brain

Receptive Language Problems

Encounters difficulty with understanding oral presentation of informationDoes not understand humor figurative language or abstract thought

Expressive Language Problems

Limited use of vocabularySearches for the right wordPoor social language skillsHesitates to ask questionsJumps from topic to topicTopics chosen are concrete rather than

abstract temporal or spatialRepetitive and unspecific

Dimensions of Speech

VoicePitch intensity

qualityResonanceArticulationFluency

Speech disorders can occur in all of these areas

Speech disordersSpeech behavior that is sufficiently deviant from normal that it attracts attention

Fluency Disorders

Repeated interruptions hesitations or repetitions that seriously interrupt the flow of communication

Cluttering = speech that is overly rapid disorganized and occasionally filled with unnecessary words

Stuttering = flow of speech is abnormally interrupted by repetitions blocking or prolongations of sounds syllables words or phrases

Childhood apraxia of speech

Speech disordersArticulation Disorders

Abnormality in the speech-sound production process resulting in inaccurate or otherwise inappropriate execution of the speaking act

Omissions Substitutions Additions Distortions of certain sounds

Causation Physical malformation nerve injury or brain damage

Cleft palateOcclusionmalocclusionDefective learning of the speaking act

ldquordquo

Causation

Speech disordersVoice Disorders

Unusual or abnormal acoustical qualities in a personrsquos speech

Subjectivity in determining voice normalcyProblems are persistent when not treated

Nasality hoarseness or breathiness

Prevalence of Speech Language Disorders

11-12 of all students receiving special education

21 ratio boys to girls

Does not include students who receive speech and language therapy as a related service

Causes of Speech and Language Disorders

Biological causes Physical causes Emotional causes Brain injury Heredity

Environmental causes Neglect or abuse Poverty malnutrition

Speech Assessments

Formal tests of articulation ( phonetic amp hellip)

Spontaneous conversation samples(TOLD amp hellip)

Developmental history

Examination of mouth teeth palate (oral motor function)

Language AssessmentsFormal and informal assessmentsSamples of studentrsquos written schoolworkObservations

What child talks about How child talks about things How child functions in context of community How child uses language socially

Communication and Technology

Augmentative and alternative communication (AAC)

Unaided (low Tech) sign language

Aided (high Tech) depends on equipment or materials

Communication boardComputer with speech

processorWord prediction software

Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)

1048635 Swallowing Function

1048635 Treatment of swallowing dysfunction andor

oral function for feeding 92526

1048635 Evaluation of oral amp pharyngeal swallowing

Function 92610

1048635 Motion fluoroscopic evaluation of swallowing

function by cine or video recording 92611

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing by cine or video recording 92612

1048635 physician interpretation and report only 92613

1048635 Flexible fiberoptic endoscopic evaluation

laryngeal sensory testing by cine or video

Recording 92614

1048635 physician interpretation and report only 92615

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing and laryngeal sensory testing 92616

1048635 physician interpretation and report only 92617

Speech and Language

1048635 Evaluation of speech language voice

communication andor auditory processing 92506

1048635 Treatment of speech language voice

communication andor auditory processing

disorder

individual 92507

1048635 group two or more individuals 92508

1048635 Development of cognitive skills to improve

attention memory problem solving direct

one-on-one patient contact by the provider

each 15 minutes 97532

1048635 Sensory integrative techniques to enhance

sensory processing and promote adaptive

responses to environmental demands each

15 minutes 97533

1048635 Nasopharyngoscopy w endoscope 92511

1048635 Laryngeal function studies 92520

1048635 Evaluation of auditory rehabilitation status1st hour 92626

1048635 each additional 15 minutes 92627

1048635 PROCEDURE CPT CHARGE

1048635 Auditory rehabilitation pre-lingual hearing

Loss 92630

1048635 Auditory rehabilitation post-lingual hearing

loss 92633

1048635 Assessment of aphasia with interpretation

and report per hour 96105

1048635 Developmental testing limited winterpretation and report 96110

1048635 extended with interpretation and report 96111

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

DefinitionLanguage process of cognitive involves

Memory Learning Message reception and processing Expressive skills

Language delays= sequence of development is intact but the rate is interrupted

Language disorders= sequence of language acquisition is not systematic or sequential

Language development

Stages in developing skills language Crying then cooing growling and babbling by age

0-9(m)Different tones and vocal intensityEchoing or mimicking responsesWords begin to become attached to people or

objects by age 12-15(m)Strings of two and three words by age 18-24(m)Basic syntactical structures by age 4Six word sentences by age 5Articulate nearly all the speech sounds correctly by

age 8

13

Etiology of Speech and Language

Impairments

Language Disorders(for example)

Central Auditory Processing Disorder

Specific language impairment

Language delay

Aphasia

Classification(According to cause)

Receptive language = difficulties in comprehending what others say

Expressive language = difficulty in formulating and using language

Aphasia = impairment of language comprehension formulation and use due to injury disease or mal-development of the brain

Receptive Language Problems

Encounters difficulty with understanding oral presentation of informationDoes not understand humor figurative language or abstract thought

Expressive Language Problems

Limited use of vocabularySearches for the right wordPoor social language skillsHesitates to ask questionsJumps from topic to topicTopics chosen are concrete rather than

abstract temporal or spatialRepetitive and unspecific

Dimensions of Speech

VoicePitch intensity

qualityResonanceArticulationFluency

Speech disorders can occur in all of these areas

Speech disordersSpeech behavior that is sufficiently deviant from normal that it attracts attention

Fluency Disorders

Repeated interruptions hesitations or repetitions that seriously interrupt the flow of communication

Cluttering = speech that is overly rapid disorganized and occasionally filled with unnecessary words

Stuttering = flow of speech is abnormally interrupted by repetitions blocking or prolongations of sounds syllables words or phrases

Childhood apraxia of speech

Speech disordersArticulation Disorders

Abnormality in the speech-sound production process resulting in inaccurate or otherwise inappropriate execution of the speaking act

Omissions Substitutions Additions Distortions of certain sounds

Causation Physical malformation nerve injury or brain damage

Cleft palateOcclusionmalocclusionDefective learning of the speaking act

ldquordquo

Causation

Speech disordersVoice Disorders

Unusual or abnormal acoustical qualities in a personrsquos speech

Subjectivity in determining voice normalcyProblems are persistent when not treated

Nasality hoarseness or breathiness

Prevalence of Speech Language Disorders

11-12 of all students receiving special education

21 ratio boys to girls

Does not include students who receive speech and language therapy as a related service

Causes of Speech and Language Disorders

Biological causes Physical causes Emotional causes Brain injury Heredity

Environmental causes Neglect or abuse Poverty malnutrition

Speech Assessments

Formal tests of articulation ( phonetic amp hellip)

Spontaneous conversation samples(TOLD amp hellip)

Developmental history

Examination of mouth teeth palate (oral motor function)

Language AssessmentsFormal and informal assessmentsSamples of studentrsquos written schoolworkObservations

What child talks about How child talks about things How child functions in context of community How child uses language socially

Communication and Technology

Augmentative and alternative communication (AAC)

Unaided (low Tech) sign language

Aided (high Tech) depends on equipment or materials

Communication boardComputer with speech

processorWord prediction software

Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)

1048635 Swallowing Function

1048635 Treatment of swallowing dysfunction andor

oral function for feeding 92526

1048635 Evaluation of oral amp pharyngeal swallowing

Function 92610

1048635 Motion fluoroscopic evaluation of swallowing

function by cine or video recording 92611

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing by cine or video recording 92612

1048635 physician interpretation and report only 92613

1048635 Flexible fiberoptic endoscopic evaluation

laryngeal sensory testing by cine or video

Recording 92614

1048635 physician interpretation and report only 92615

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing and laryngeal sensory testing 92616

1048635 physician interpretation and report only 92617

Speech and Language

1048635 Evaluation of speech language voice

communication andor auditory processing 92506

1048635 Treatment of speech language voice

communication andor auditory processing

disorder

individual 92507

1048635 group two or more individuals 92508

1048635 Development of cognitive skills to improve

attention memory problem solving direct

one-on-one patient contact by the provider

each 15 minutes 97532

1048635 Sensory integrative techniques to enhance

sensory processing and promote adaptive

responses to environmental demands each

15 minutes 97533

1048635 Nasopharyngoscopy w endoscope 92511

1048635 Laryngeal function studies 92520

1048635 Evaluation of auditory rehabilitation status1st hour 92626

1048635 each additional 15 minutes 92627

1048635 PROCEDURE CPT CHARGE

1048635 Auditory rehabilitation pre-lingual hearing

Loss 92630

1048635 Auditory rehabilitation post-lingual hearing

loss 92633

1048635 Assessment of aphasia with interpretation

and report per hour 96105

1048635 Developmental testing limited winterpretation and report 96110

1048635 extended with interpretation and report 96111

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

Language development

Stages in developing skills language Crying then cooing growling and babbling by age

0-9(m)Different tones and vocal intensityEchoing or mimicking responsesWords begin to become attached to people or

objects by age 12-15(m)Strings of two and three words by age 18-24(m)Basic syntactical structures by age 4Six word sentences by age 5Articulate nearly all the speech sounds correctly by

age 8

13

Etiology of Speech and Language

Impairments

Language Disorders(for example)

Central Auditory Processing Disorder

Specific language impairment

Language delay

Aphasia

Classification(According to cause)

Receptive language = difficulties in comprehending what others say

Expressive language = difficulty in formulating and using language

Aphasia = impairment of language comprehension formulation and use due to injury disease or mal-development of the brain

Receptive Language Problems

Encounters difficulty with understanding oral presentation of informationDoes not understand humor figurative language or abstract thought

Expressive Language Problems

Limited use of vocabularySearches for the right wordPoor social language skillsHesitates to ask questionsJumps from topic to topicTopics chosen are concrete rather than

abstract temporal or spatialRepetitive and unspecific

Dimensions of Speech

VoicePitch intensity

qualityResonanceArticulationFluency

Speech disorders can occur in all of these areas

Speech disordersSpeech behavior that is sufficiently deviant from normal that it attracts attention

Fluency Disorders

Repeated interruptions hesitations or repetitions that seriously interrupt the flow of communication

Cluttering = speech that is overly rapid disorganized and occasionally filled with unnecessary words

Stuttering = flow of speech is abnormally interrupted by repetitions blocking or prolongations of sounds syllables words or phrases

Childhood apraxia of speech

Speech disordersArticulation Disorders

Abnormality in the speech-sound production process resulting in inaccurate or otherwise inappropriate execution of the speaking act

Omissions Substitutions Additions Distortions of certain sounds

Causation Physical malformation nerve injury or brain damage

Cleft palateOcclusionmalocclusionDefective learning of the speaking act

ldquordquo

Causation

Speech disordersVoice Disorders

Unusual or abnormal acoustical qualities in a personrsquos speech

Subjectivity in determining voice normalcyProblems are persistent when not treated

Nasality hoarseness or breathiness

Prevalence of Speech Language Disorders

11-12 of all students receiving special education

21 ratio boys to girls

Does not include students who receive speech and language therapy as a related service

Causes of Speech and Language Disorders

Biological causes Physical causes Emotional causes Brain injury Heredity

Environmental causes Neglect or abuse Poverty malnutrition

Speech Assessments

Formal tests of articulation ( phonetic amp hellip)

Spontaneous conversation samples(TOLD amp hellip)

Developmental history

Examination of mouth teeth palate (oral motor function)

Language AssessmentsFormal and informal assessmentsSamples of studentrsquos written schoolworkObservations

What child talks about How child talks about things How child functions in context of community How child uses language socially

Communication and Technology

Augmentative and alternative communication (AAC)

Unaided (low Tech) sign language

Aided (high Tech) depends on equipment or materials

Communication boardComputer with speech

processorWord prediction software

Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)

1048635 Swallowing Function

1048635 Treatment of swallowing dysfunction andor

oral function for feeding 92526

1048635 Evaluation of oral amp pharyngeal swallowing

Function 92610

1048635 Motion fluoroscopic evaluation of swallowing

function by cine or video recording 92611

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing by cine or video recording 92612

1048635 physician interpretation and report only 92613

1048635 Flexible fiberoptic endoscopic evaluation

laryngeal sensory testing by cine or video

Recording 92614

1048635 physician interpretation and report only 92615

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing and laryngeal sensory testing 92616

1048635 physician interpretation and report only 92617

Speech and Language

1048635 Evaluation of speech language voice

communication andor auditory processing 92506

1048635 Treatment of speech language voice

communication andor auditory processing

disorder

individual 92507

1048635 group two or more individuals 92508

1048635 Development of cognitive skills to improve

attention memory problem solving direct

one-on-one patient contact by the provider

each 15 minutes 97532

1048635 Sensory integrative techniques to enhance

sensory processing and promote adaptive

responses to environmental demands each

15 minutes 97533

1048635 Nasopharyngoscopy w endoscope 92511

1048635 Laryngeal function studies 92520

1048635 Evaluation of auditory rehabilitation status1st hour 92626

1048635 each additional 15 minutes 92627

1048635 PROCEDURE CPT CHARGE

1048635 Auditory rehabilitation pre-lingual hearing

Loss 92630

1048635 Auditory rehabilitation post-lingual hearing

loss 92633

1048635 Assessment of aphasia with interpretation

and report per hour 96105

1048635 Developmental testing limited winterpretation and report 96110

1048635 extended with interpretation and report 96111

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

13

Etiology of Speech and Language

Impairments

Language Disorders(for example)

Central Auditory Processing Disorder

Specific language impairment

Language delay

Aphasia

Classification(According to cause)

Receptive language = difficulties in comprehending what others say

Expressive language = difficulty in formulating and using language

Aphasia = impairment of language comprehension formulation and use due to injury disease or mal-development of the brain

Receptive Language Problems

Encounters difficulty with understanding oral presentation of informationDoes not understand humor figurative language or abstract thought

Expressive Language Problems

Limited use of vocabularySearches for the right wordPoor social language skillsHesitates to ask questionsJumps from topic to topicTopics chosen are concrete rather than

abstract temporal or spatialRepetitive and unspecific

Dimensions of Speech

VoicePitch intensity

qualityResonanceArticulationFluency

Speech disorders can occur in all of these areas

Speech disordersSpeech behavior that is sufficiently deviant from normal that it attracts attention

Fluency Disorders

Repeated interruptions hesitations or repetitions that seriously interrupt the flow of communication

Cluttering = speech that is overly rapid disorganized and occasionally filled with unnecessary words

Stuttering = flow of speech is abnormally interrupted by repetitions blocking or prolongations of sounds syllables words or phrases

Childhood apraxia of speech

Speech disordersArticulation Disorders

Abnormality in the speech-sound production process resulting in inaccurate or otherwise inappropriate execution of the speaking act

Omissions Substitutions Additions Distortions of certain sounds

Causation Physical malformation nerve injury or brain damage

Cleft palateOcclusionmalocclusionDefective learning of the speaking act

ldquordquo

Causation

Speech disordersVoice Disorders

Unusual or abnormal acoustical qualities in a personrsquos speech

Subjectivity in determining voice normalcyProblems are persistent when not treated

Nasality hoarseness or breathiness

Prevalence of Speech Language Disorders

11-12 of all students receiving special education

21 ratio boys to girls

Does not include students who receive speech and language therapy as a related service

Causes of Speech and Language Disorders

Biological causes Physical causes Emotional causes Brain injury Heredity

Environmental causes Neglect or abuse Poverty malnutrition

Speech Assessments

Formal tests of articulation ( phonetic amp hellip)

Spontaneous conversation samples(TOLD amp hellip)

Developmental history

Examination of mouth teeth palate (oral motor function)

Language AssessmentsFormal and informal assessmentsSamples of studentrsquos written schoolworkObservations

What child talks about How child talks about things How child functions in context of community How child uses language socially

Communication and Technology

Augmentative and alternative communication (AAC)

Unaided (low Tech) sign language

Aided (high Tech) depends on equipment or materials

Communication boardComputer with speech

processorWord prediction software

Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)

1048635 Swallowing Function

1048635 Treatment of swallowing dysfunction andor

oral function for feeding 92526

1048635 Evaluation of oral amp pharyngeal swallowing

Function 92610

1048635 Motion fluoroscopic evaluation of swallowing

function by cine or video recording 92611

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing by cine or video recording 92612

1048635 physician interpretation and report only 92613

1048635 Flexible fiberoptic endoscopic evaluation

laryngeal sensory testing by cine or video

Recording 92614

1048635 physician interpretation and report only 92615

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing and laryngeal sensory testing 92616

1048635 physician interpretation and report only 92617

Speech and Language

1048635 Evaluation of speech language voice

communication andor auditory processing 92506

1048635 Treatment of speech language voice

communication andor auditory processing

disorder

individual 92507

1048635 group two or more individuals 92508

1048635 Development of cognitive skills to improve

attention memory problem solving direct

one-on-one patient contact by the provider

each 15 minutes 97532

1048635 Sensory integrative techniques to enhance

sensory processing and promote adaptive

responses to environmental demands each

15 minutes 97533

1048635 Nasopharyngoscopy w endoscope 92511

1048635 Laryngeal function studies 92520

1048635 Evaluation of auditory rehabilitation status1st hour 92626

1048635 each additional 15 minutes 92627

1048635 PROCEDURE CPT CHARGE

1048635 Auditory rehabilitation pre-lingual hearing

Loss 92630

1048635 Auditory rehabilitation post-lingual hearing

loss 92633

1048635 Assessment of aphasia with interpretation

and report per hour 96105

1048635 Developmental testing limited winterpretation and report 96110

1048635 extended with interpretation and report 96111

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

Language Disorders(for example)

Central Auditory Processing Disorder

Specific language impairment

Language delay

Aphasia

Classification(According to cause)

Receptive language = difficulties in comprehending what others say

Expressive language = difficulty in formulating and using language

Aphasia = impairment of language comprehension formulation and use due to injury disease or mal-development of the brain

Receptive Language Problems

Encounters difficulty with understanding oral presentation of informationDoes not understand humor figurative language or abstract thought

Expressive Language Problems

Limited use of vocabularySearches for the right wordPoor social language skillsHesitates to ask questionsJumps from topic to topicTopics chosen are concrete rather than

abstract temporal or spatialRepetitive and unspecific

Dimensions of Speech

VoicePitch intensity

qualityResonanceArticulationFluency

Speech disorders can occur in all of these areas

Speech disordersSpeech behavior that is sufficiently deviant from normal that it attracts attention

Fluency Disorders

Repeated interruptions hesitations or repetitions that seriously interrupt the flow of communication

Cluttering = speech that is overly rapid disorganized and occasionally filled with unnecessary words

Stuttering = flow of speech is abnormally interrupted by repetitions blocking or prolongations of sounds syllables words or phrases

Childhood apraxia of speech

Speech disordersArticulation Disorders

Abnormality in the speech-sound production process resulting in inaccurate or otherwise inappropriate execution of the speaking act

Omissions Substitutions Additions Distortions of certain sounds

Causation Physical malformation nerve injury or brain damage

Cleft palateOcclusionmalocclusionDefective learning of the speaking act

ldquordquo

Causation

Speech disordersVoice Disorders

Unusual or abnormal acoustical qualities in a personrsquos speech

Subjectivity in determining voice normalcyProblems are persistent when not treated

Nasality hoarseness or breathiness

Prevalence of Speech Language Disorders

11-12 of all students receiving special education

21 ratio boys to girls

Does not include students who receive speech and language therapy as a related service

Causes of Speech and Language Disorders

Biological causes Physical causes Emotional causes Brain injury Heredity

Environmental causes Neglect or abuse Poverty malnutrition

Speech Assessments

Formal tests of articulation ( phonetic amp hellip)

Spontaneous conversation samples(TOLD amp hellip)

Developmental history

Examination of mouth teeth palate (oral motor function)

Language AssessmentsFormal and informal assessmentsSamples of studentrsquos written schoolworkObservations

What child talks about How child talks about things How child functions in context of community How child uses language socially

Communication and Technology

Augmentative and alternative communication (AAC)

Unaided (low Tech) sign language

Aided (high Tech) depends on equipment or materials

Communication boardComputer with speech

processorWord prediction software

Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)

1048635 Swallowing Function

1048635 Treatment of swallowing dysfunction andor

oral function for feeding 92526

1048635 Evaluation of oral amp pharyngeal swallowing

Function 92610

1048635 Motion fluoroscopic evaluation of swallowing

function by cine or video recording 92611

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing by cine or video recording 92612

1048635 physician interpretation and report only 92613

1048635 Flexible fiberoptic endoscopic evaluation

laryngeal sensory testing by cine or video

Recording 92614

1048635 physician interpretation and report only 92615

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing and laryngeal sensory testing 92616

1048635 physician interpretation and report only 92617

Speech and Language

1048635 Evaluation of speech language voice

communication andor auditory processing 92506

1048635 Treatment of speech language voice

communication andor auditory processing

disorder

individual 92507

1048635 group two or more individuals 92508

1048635 Development of cognitive skills to improve

attention memory problem solving direct

one-on-one patient contact by the provider

each 15 minutes 97532

1048635 Sensory integrative techniques to enhance

sensory processing and promote adaptive

responses to environmental demands each

15 minutes 97533

1048635 Nasopharyngoscopy w endoscope 92511

1048635 Laryngeal function studies 92520

1048635 Evaluation of auditory rehabilitation status1st hour 92626

1048635 each additional 15 minutes 92627

1048635 PROCEDURE CPT CHARGE

1048635 Auditory rehabilitation pre-lingual hearing

Loss 92630

1048635 Auditory rehabilitation post-lingual hearing

loss 92633

1048635 Assessment of aphasia with interpretation

and report per hour 96105

1048635 Developmental testing limited winterpretation and report 96110

1048635 extended with interpretation and report 96111

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

Classification(According to cause)

Receptive language = difficulties in comprehending what others say

Expressive language = difficulty in formulating and using language

Aphasia = impairment of language comprehension formulation and use due to injury disease or mal-development of the brain

Receptive Language Problems

Encounters difficulty with understanding oral presentation of informationDoes not understand humor figurative language or abstract thought

Expressive Language Problems

Limited use of vocabularySearches for the right wordPoor social language skillsHesitates to ask questionsJumps from topic to topicTopics chosen are concrete rather than

abstract temporal or spatialRepetitive and unspecific

Dimensions of Speech

VoicePitch intensity

qualityResonanceArticulationFluency

Speech disorders can occur in all of these areas

Speech disordersSpeech behavior that is sufficiently deviant from normal that it attracts attention

Fluency Disorders

Repeated interruptions hesitations or repetitions that seriously interrupt the flow of communication

Cluttering = speech that is overly rapid disorganized and occasionally filled with unnecessary words

Stuttering = flow of speech is abnormally interrupted by repetitions blocking or prolongations of sounds syllables words or phrases

Childhood apraxia of speech

Speech disordersArticulation Disorders

Abnormality in the speech-sound production process resulting in inaccurate or otherwise inappropriate execution of the speaking act

Omissions Substitutions Additions Distortions of certain sounds

Causation Physical malformation nerve injury or brain damage

Cleft palateOcclusionmalocclusionDefective learning of the speaking act

ldquordquo

Causation

Speech disordersVoice Disorders

Unusual or abnormal acoustical qualities in a personrsquos speech

Subjectivity in determining voice normalcyProblems are persistent when not treated

Nasality hoarseness or breathiness

Prevalence of Speech Language Disorders

11-12 of all students receiving special education

21 ratio boys to girls

Does not include students who receive speech and language therapy as a related service

Causes of Speech and Language Disorders

Biological causes Physical causes Emotional causes Brain injury Heredity

Environmental causes Neglect or abuse Poverty malnutrition

Speech Assessments

Formal tests of articulation ( phonetic amp hellip)

Spontaneous conversation samples(TOLD amp hellip)

Developmental history

Examination of mouth teeth palate (oral motor function)

Language AssessmentsFormal and informal assessmentsSamples of studentrsquos written schoolworkObservations

What child talks about How child talks about things How child functions in context of community How child uses language socially

Communication and Technology

Augmentative and alternative communication (AAC)

Unaided (low Tech) sign language

Aided (high Tech) depends on equipment or materials

Communication boardComputer with speech

processorWord prediction software

Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)

1048635 Swallowing Function

1048635 Treatment of swallowing dysfunction andor

oral function for feeding 92526

1048635 Evaluation of oral amp pharyngeal swallowing

Function 92610

1048635 Motion fluoroscopic evaluation of swallowing

function by cine or video recording 92611

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing by cine or video recording 92612

1048635 physician interpretation and report only 92613

1048635 Flexible fiberoptic endoscopic evaluation

laryngeal sensory testing by cine or video

Recording 92614

1048635 physician interpretation and report only 92615

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing and laryngeal sensory testing 92616

1048635 physician interpretation and report only 92617

Speech and Language

1048635 Evaluation of speech language voice

communication andor auditory processing 92506

1048635 Treatment of speech language voice

communication andor auditory processing

disorder

individual 92507

1048635 group two or more individuals 92508

1048635 Development of cognitive skills to improve

attention memory problem solving direct

one-on-one patient contact by the provider

each 15 minutes 97532

1048635 Sensory integrative techniques to enhance

sensory processing and promote adaptive

responses to environmental demands each

15 minutes 97533

1048635 Nasopharyngoscopy w endoscope 92511

1048635 Laryngeal function studies 92520

1048635 Evaluation of auditory rehabilitation status1st hour 92626

1048635 each additional 15 minutes 92627

1048635 PROCEDURE CPT CHARGE

1048635 Auditory rehabilitation pre-lingual hearing

Loss 92630

1048635 Auditory rehabilitation post-lingual hearing

loss 92633

1048635 Assessment of aphasia with interpretation

and report per hour 96105

1048635 Developmental testing limited winterpretation and report 96110

1048635 extended with interpretation and report 96111

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

Receptive Language Problems

Encounters difficulty with understanding oral presentation of informationDoes not understand humor figurative language or abstract thought

Expressive Language Problems

Limited use of vocabularySearches for the right wordPoor social language skillsHesitates to ask questionsJumps from topic to topicTopics chosen are concrete rather than

abstract temporal or spatialRepetitive and unspecific

Dimensions of Speech

VoicePitch intensity

qualityResonanceArticulationFluency

Speech disorders can occur in all of these areas

Speech disordersSpeech behavior that is sufficiently deviant from normal that it attracts attention

Fluency Disorders

Repeated interruptions hesitations or repetitions that seriously interrupt the flow of communication

Cluttering = speech that is overly rapid disorganized and occasionally filled with unnecessary words

Stuttering = flow of speech is abnormally interrupted by repetitions blocking or prolongations of sounds syllables words or phrases

Childhood apraxia of speech

Speech disordersArticulation Disorders

Abnormality in the speech-sound production process resulting in inaccurate or otherwise inappropriate execution of the speaking act

Omissions Substitutions Additions Distortions of certain sounds

Causation Physical malformation nerve injury or brain damage

Cleft palateOcclusionmalocclusionDefective learning of the speaking act

ldquordquo

Causation

Speech disordersVoice Disorders

Unusual or abnormal acoustical qualities in a personrsquos speech

Subjectivity in determining voice normalcyProblems are persistent when not treated

Nasality hoarseness or breathiness

Prevalence of Speech Language Disorders

11-12 of all students receiving special education

21 ratio boys to girls

Does not include students who receive speech and language therapy as a related service

Causes of Speech and Language Disorders

Biological causes Physical causes Emotional causes Brain injury Heredity

Environmental causes Neglect or abuse Poverty malnutrition

Speech Assessments

Formal tests of articulation ( phonetic amp hellip)

Spontaneous conversation samples(TOLD amp hellip)

Developmental history

Examination of mouth teeth palate (oral motor function)

Language AssessmentsFormal and informal assessmentsSamples of studentrsquos written schoolworkObservations

What child talks about How child talks about things How child functions in context of community How child uses language socially

Communication and Technology

Augmentative and alternative communication (AAC)

Unaided (low Tech) sign language

Aided (high Tech) depends on equipment or materials

Communication boardComputer with speech

processorWord prediction software

Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)

1048635 Swallowing Function

1048635 Treatment of swallowing dysfunction andor

oral function for feeding 92526

1048635 Evaluation of oral amp pharyngeal swallowing

Function 92610

1048635 Motion fluoroscopic evaluation of swallowing

function by cine or video recording 92611

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing by cine or video recording 92612

1048635 physician interpretation and report only 92613

1048635 Flexible fiberoptic endoscopic evaluation

laryngeal sensory testing by cine or video

Recording 92614

1048635 physician interpretation and report only 92615

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing and laryngeal sensory testing 92616

1048635 physician interpretation and report only 92617

Speech and Language

1048635 Evaluation of speech language voice

communication andor auditory processing 92506

1048635 Treatment of speech language voice

communication andor auditory processing

disorder

individual 92507

1048635 group two or more individuals 92508

1048635 Development of cognitive skills to improve

attention memory problem solving direct

one-on-one patient contact by the provider

each 15 minutes 97532

1048635 Sensory integrative techniques to enhance

sensory processing and promote adaptive

responses to environmental demands each

15 minutes 97533

1048635 Nasopharyngoscopy w endoscope 92511

1048635 Laryngeal function studies 92520

1048635 Evaluation of auditory rehabilitation status1st hour 92626

1048635 each additional 15 minutes 92627

1048635 PROCEDURE CPT CHARGE

1048635 Auditory rehabilitation pre-lingual hearing

Loss 92630

1048635 Auditory rehabilitation post-lingual hearing

loss 92633

1048635 Assessment of aphasia with interpretation

and report per hour 96105

1048635 Developmental testing limited winterpretation and report 96110

1048635 extended with interpretation and report 96111

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

Expressive Language Problems

Limited use of vocabularySearches for the right wordPoor social language skillsHesitates to ask questionsJumps from topic to topicTopics chosen are concrete rather than

abstract temporal or spatialRepetitive and unspecific

Dimensions of Speech

VoicePitch intensity

qualityResonanceArticulationFluency

Speech disorders can occur in all of these areas

Speech disordersSpeech behavior that is sufficiently deviant from normal that it attracts attention

Fluency Disorders

Repeated interruptions hesitations or repetitions that seriously interrupt the flow of communication

Cluttering = speech that is overly rapid disorganized and occasionally filled with unnecessary words

Stuttering = flow of speech is abnormally interrupted by repetitions blocking or prolongations of sounds syllables words or phrases

Childhood apraxia of speech

Speech disordersArticulation Disorders

Abnormality in the speech-sound production process resulting in inaccurate or otherwise inappropriate execution of the speaking act

Omissions Substitutions Additions Distortions of certain sounds

Causation Physical malformation nerve injury or brain damage

Cleft palateOcclusionmalocclusionDefective learning of the speaking act

ldquordquo

Causation

Speech disordersVoice Disorders

Unusual or abnormal acoustical qualities in a personrsquos speech

Subjectivity in determining voice normalcyProblems are persistent when not treated

Nasality hoarseness or breathiness

Prevalence of Speech Language Disorders

11-12 of all students receiving special education

21 ratio boys to girls

Does not include students who receive speech and language therapy as a related service

Causes of Speech and Language Disorders

Biological causes Physical causes Emotional causes Brain injury Heredity

Environmental causes Neglect or abuse Poverty malnutrition

Speech Assessments

Formal tests of articulation ( phonetic amp hellip)

Spontaneous conversation samples(TOLD amp hellip)

Developmental history

Examination of mouth teeth palate (oral motor function)

Language AssessmentsFormal and informal assessmentsSamples of studentrsquos written schoolworkObservations

What child talks about How child talks about things How child functions in context of community How child uses language socially

Communication and Technology

Augmentative and alternative communication (AAC)

Unaided (low Tech) sign language

Aided (high Tech) depends on equipment or materials

Communication boardComputer with speech

processorWord prediction software

Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)

1048635 Swallowing Function

1048635 Treatment of swallowing dysfunction andor

oral function for feeding 92526

1048635 Evaluation of oral amp pharyngeal swallowing

Function 92610

1048635 Motion fluoroscopic evaluation of swallowing

function by cine or video recording 92611

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing by cine or video recording 92612

1048635 physician interpretation and report only 92613

1048635 Flexible fiberoptic endoscopic evaluation

laryngeal sensory testing by cine or video

Recording 92614

1048635 physician interpretation and report only 92615

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing and laryngeal sensory testing 92616

1048635 physician interpretation and report only 92617

Speech and Language

1048635 Evaluation of speech language voice

communication andor auditory processing 92506

1048635 Treatment of speech language voice

communication andor auditory processing

disorder

individual 92507

1048635 group two or more individuals 92508

1048635 Development of cognitive skills to improve

attention memory problem solving direct

one-on-one patient contact by the provider

each 15 minutes 97532

1048635 Sensory integrative techniques to enhance

sensory processing and promote adaptive

responses to environmental demands each

15 minutes 97533

1048635 Nasopharyngoscopy w endoscope 92511

1048635 Laryngeal function studies 92520

1048635 Evaluation of auditory rehabilitation status1st hour 92626

1048635 each additional 15 minutes 92627

1048635 PROCEDURE CPT CHARGE

1048635 Auditory rehabilitation pre-lingual hearing

Loss 92630

1048635 Auditory rehabilitation post-lingual hearing

loss 92633

1048635 Assessment of aphasia with interpretation

and report per hour 96105

1048635 Developmental testing limited winterpretation and report 96110

1048635 extended with interpretation and report 96111

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

Dimensions of Speech

VoicePitch intensity

qualityResonanceArticulationFluency

Speech disorders can occur in all of these areas

Speech disordersSpeech behavior that is sufficiently deviant from normal that it attracts attention

Fluency Disorders

Repeated interruptions hesitations or repetitions that seriously interrupt the flow of communication

Cluttering = speech that is overly rapid disorganized and occasionally filled with unnecessary words

Stuttering = flow of speech is abnormally interrupted by repetitions blocking or prolongations of sounds syllables words or phrases

Childhood apraxia of speech

Speech disordersArticulation Disorders

Abnormality in the speech-sound production process resulting in inaccurate or otherwise inappropriate execution of the speaking act

Omissions Substitutions Additions Distortions of certain sounds

Causation Physical malformation nerve injury or brain damage

Cleft palateOcclusionmalocclusionDefective learning of the speaking act

ldquordquo

Causation

Speech disordersVoice Disorders

Unusual or abnormal acoustical qualities in a personrsquos speech

Subjectivity in determining voice normalcyProblems are persistent when not treated

Nasality hoarseness or breathiness

Prevalence of Speech Language Disorders

11-12 of all students receiving special education

21 ratio boys to girls

Does not include students who receive speech and language therapy as a related service

Causes of Speech and Language Disorders

Biological causes Physical causes Emotional causes Brain injury Heredity

Environmental causes Neglect or abuse Poverty malnutrition

Speech Assessments

Formal tests of articulation ( phonetic amp hellip)

Spontaneous conversation samples(TOLD amp hellip)

Developmental history

Examination of mouth teeth palate (oral motor function)

Language AssessmentsFormal and informal assessmentsSamples of studentrsquos written schoolworkObservations

What child talks about How child talks about things How child functions in context of community How child uses language socially

Communication and Technology

Augmentative and alternative communication (AAC)

Unaided (low Tech) sign language

Aided (high Tech) depends on equipment or materials

Communication boardComputer with speech

processorWord prediction software

Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)

1048635 Swallowing Function

1048635 Treatment of swallowing dysfunction andor

oral function for feeding 92526

1048635 Evaluation of oral amp pharyngeal swallowing

Function 92610

1048635 Motion fluoroscopic evaluation of swallowing

function by cine or video recording 92611

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing by cine or video recording 92612

1048635 physician interpretation and report only 92613

1048635 Flexible fiberoptic endoscopic evaluation

laryngeal sensory testing by cine or video

Recording 92614

1048635 physician interpretation and report only 92615

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing and laryngeal sensory testing 92616

1048635 physician interpretation and report only 92617

Speech and Language

1048635 Evaluation of speech language voice

communication andor auditory processing 92506

1048635 Treatment of speech language voice

communication andor auditory processing

disorder

individual 92507

1048635 group two or more individuals 92508

1048635 Development of cognitive skills to improve

attention memory problem solving direct

one-on-one patient contact by the provider

each 15 minutes 97532

1048635 Sensory integrative techniques to enhance

sensory processing and promote adaptive

responses to environmental demands each

15 minutes 97533

1048635 Nasopharyngoscopy w endoscope 92511

1048635 Laryngeal function studies 92520

1048635 Evaluation of auditory rehabilitation status1st hour 92626

1048635 each additional 15 minutes 92627

1048635 PROCEDURE CPT CHARGE

1048635 Auditory rehabilitation pre-lingual hearing

Loss 92630

1048635 Auditory rehabilitation post-lingual hearing

loss 92633

1048635 Assessment of aphasia with interpretation

and report per hour 96105

1048635 Developmental testing limited winterpretation and report 96110

1048635 extended with interpretation and report 96111

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

Speech disordersSpeech behavior that is sufficiently deviant from normal that it attracts attention

Fluency Disorders

Repeated interruptions hesitations or repetitions that seriously interrupt the flow of communication

Cluttering = speech that is overly rapid disorganized and occasionally filled with unnecessary words

Stuttering = flow of speech is abnormally interrupted by repetitions blocking or prolongations of sounds syllables words or phrases

Childhood apraxia of speech

Speech disordersArticulation Disorders

Abnormality in the speech-sound production process resulting in inaccurate or otherwise inappropriate execution of the speaking act

Omissions Substitutions Additions Distortions of certain sounds

Causation Physical malformation nerve injury or brain damage

Cleft palateOcclusionmalocclusionDefective learning of the speaking act

ldquordquo

Causation

Speech disordersVoice Disorders

Unusual or abnormal acoustical qualities in a personrsquos speech

Subjectivity in determining voice normalcyProblems are persistent when not treated

Nasality hoarseness or breathiness

Prevalence of Speech Language Disorders

11-12 of all students receiving special education

21 ratio boys to girls

Does not include students who receive speech and language therapy as a related service

Causes of Speech and Language Disorders

Biological causes Physical causes Emotional causes Brain injury Heredity

Environmental causes Neglect or abuse Poverty malnutrition

Speech Assessments

Formal tests of articulation ( phonetic amp hellip)

Spontaneous conversation samples(TOLD amp hellip)

Developmental history

Examination of mouth teeth palate (oral motor function)

Language AssessmentsFormal and informal assessmentsSamples of studentrsquos written schoolworkObservations

What child talks about How child talks about things How child functions in context of community How child uses language socially

Communication and Technology

Augmentative and alternative communication (AAC)

Unaided (low Tech) sign language

Aided (high Tech) depends on equipment or materials

Communication boardComputer with speech

processorWord prediction software

Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)

1048635 Swallowing Function

1048635 Treatment of swallowing dysfunction andor

oral function for feeding 92526

1048635 Evaluation of oral amp pharyngeal swallowing

Function 92610

1048635 Motion fluoroscopic evaluation of swallowing

function by cine or video recording 92611

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing by cine or video recording 92612

1048635 physician interpretation and report only 92613

1048635 Flexible fiberoptic endoscopic evaluation

laryngeal sensory testing by cine or video

Recording 92614

1048635 physician interpretation and report only 92615

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing and laryngeal sensory testing 92616

1048635 physician interpretation and report only 92617

Speech and Language

1048635 Evaluation of speech language voice

communication andor auditory processing 92506

1048635 Treatment of speech language voice

communication andor auditory processing

disorder

individual 92507

1048635 group two or more individuals 92508

1048635 Development of cognitive skills to improve

attention memory problem solving direct

one-on-one patient contact by the provider

each 15 minutes 97532

1048635 Sensory integrative techniques to enhance

sensory processing and promote adaptive

responses to environmental demands each

15 minutes 97533

1048635 Nasopharyngoscopy w endoscope 92511

1048635 Laryngeal function studies 92520

1048635 Evaluation of auditory rehabilitation status1st hour 92626

1048635 each additional 15 minutes 92627

1048635 PROCEDURE CPT CHARGE

1048635 Auditory rehabilitation pre-lingual hearing

Loss 92630

1048635 Auditory rehabilitation post-lingual hearing

loss 92633

1048635 Assessment of aphasia with interpretation

and report per hour 96105

1048635 Developmental testing limited winterpretation and report 96110

1048635 extended with interpretation and report 96111

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

Speech disordersArticulation Disorders

Abnormality in the speech-sound production process resulting in inaccurate or otherwise inappropriate execution of the speaking act

Omissions Substitutions Additions Distortions of certain sounds

Causation Physical malformation nerve injury or brain damage

Cleft palateOcclusionmalocclusionDefective learning of the speaking act

ldquordquo

Causation

Speech disordersVoice Disorders

Unusual or abnormal acoustical qualities in a personrsquos speech

Subjectivity in determining voice normalcyProblems are persistent when not treated

Nasality hoarseness or breathiness

Prevalence of Speech Language Disorders

11-12 of all students receiving special education

21 ratio boys to girls

Does not include students who receive speech and language therapy as a related service

Causes of Speech and Language Disorders

Biological causes Physical causes Emotional causes Brain injury Heredity

Environmental causes Neglect or abuse Poverty malnutrition

Speech Assessments

Formal tests of articulation ( phonetic amp hellip)

Spontaneous conversation samples(TOLD amp hellip)

Developmental history

Examination of mouth teeth palate (oral motor function)

Language AssessmentsFormal and informal assessmentsSamples of studentrsquos written schoolworkObservations

What child talks about How child talks about things How child functions in context of community How child uses language socially

Communication and Technology

Augmentative and alternative communication (AAC)

Unaided (low Tech) sign language

Aided (high Tech) depends on equipment or materials

Communication boardComputer with speech

processorWord prediction software

Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)

1048635 Swallowing Function

1048635 Treatment of swallowing dysfunction andor

oral function for feeding 92526

1048635 Evaluation of oral amp pharyngeal swallowing

Function 92610

1048635 Motion fluoroscopic evaluation of swallowing

function by cine or video recording 92611

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing by cine or video recording 92612

1048635 physician interpretation and report only 92613

1048635 Flexible fiberoptic endoscopic evaluation

laryngeal sensory testing by cine or video

Recording 92614

1048635 physician interpretation and report only 92615

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing and laryngeal sensory testing 92616

1048635 physician interpretation and report only 92617

Speech and Language

1048635 Evaluation of speech language voice

communication andor auditory processing 92506

1048635 Treatment of speech language voice

communication andor auditory processing

disorder

individual 92507

1048635 group two or more individuals 92508

1048635 Development of cognitive skills to improve

attention memory problem solving direct

one-on-one patient contact by the provider

each 15 minutes 97532

1048635 Sensory integrative techniques to enhance

sensory processing and promote adaptive

responses to environmental demands each

15 minutes 97533

1048635 Nasopharyngoscopy w endoscope 92511

1048635 Laryngeal function studies 92520

1048635 Evaluation of auditory rehabilitation status1st hour 92626

1048635 each additional 15 minutes 92627

1048635 PROCEDURE CPT CHARGE

1048635 Auditory rehabilitation pre-lingual hearing

Loss 92630

1048635 Auditory rehabilitation post-lingual hearing

loss 92633

1048635 Assessment of aphasia with interpretation

and report per hour 96105

1048635 Developmental testing limited winterpretation and report 96110

1048635 extended with interpretation and report 96111

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

ldquordquo

Causation

Speech disordersVoice Disorders

Unusual or abnormal acoustical qualities in a personrsquos speech

Subjectivity in determining voice normalcyProblems are persistent when not treated

Nasality hoarseness or breathiness

Prevalence of Speech Language Disorders

11-12 of all students receiving special education

21 ratio boys to girls

Does not include students who receive speech and language therapy as a related service

Causes of Speech and Language Disorders

Biological causes Physical causes Emotional causes Brain injury Heredity

Environmental causes Neglect or abuse Poverty malnutrition

Speech Assessments

Formal tests of articulation ( phonetic amp hellip)

Spontaneous conversation samples(TOLD amp hellip)

Developmental history

Examination of mouth teeth palate (oral motor function)

Language AssessmentsFormal and informal assessmentsSamples of studentrsquos written schoolworkObservations

What child talks about How child talks about things How child functions in context of community How child uses language socially

Communication and Technology

Augmentative and alternative communication (AAC)

Unaided (low Tech) sign language

Aided (high Tech) depends on equipment or materials

Communication boardComputer with speech

processorWord prediction software

Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)

1048635 Swallowing Function

1048635 Treatment of swallowing dysfunction andor

oral function for feeding 92526

1048635 Evaluation of oral amp pharyngeal swallowing

Function 92610

1048635 Motion fluoroscopic evaluation of swallowing

function by cine or video recording 92611

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing by cine or video recording 92612

1048635 physician interpretation and report only 92613

1048635 Flexible fiberoptic endoscopic evaluation

laryngeal sensory testing by cine or video

Recording 92614

1048635 physician interpretation and report only 92615

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing and laryngeal sensory testing 92616

1048635 physician interpretation and report only 92617

Speech and Language

1048635 Evaluation of speech language voice

communication andor auditory processing 92506

1048635 Treatment of speech language voice

communication andor auditory processing

disorder

individual 92507

1048635 group two or more individuals 92508

1048635 Development of cognitive skills to improve

attention memory problem solving direct

one-on-one patient contact by the provider

each 15 minutes 97532

1048635 Sensory integrative techniques to enhance

sensory processing and promote adaptive

responses to environmental demands each

15 minutes 97533

1048635 Nasopharyngoscopy w endoscope 92511

1048635 Laryngeal function studies 92520

1048635 Evaluation of auditory rehabilitation status1st hour 92626

1048635 each additional 15 minutes 92627

1048635 PROCEDURE CPT CHARGE

1048635 Auditory rehabilitation pre-lingual hearing

Loss 92630

1048635 Auditory rehabilitation post-lingual hearing

loss 92633

1048635 Assessment of aphasia with interpretation

and report per hour 96105

1048635 Developmental testing limited winterpretation and report 96110

1048635 extended with interpretation and report 96111

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

Speech disordersVoice Disorders

Unusual or abnormal acoustical qualities in a personrsquos speech

Subjectivity in determining voice normalcyProblems are persistent when not treated

Nasality hoarseness or breathiness

Prevalence of Speech Language Disorders

11-12 of all students receiving special education

21 ratio boys to girls

Does not include students who receive speech and language therapy as a related service

Causes of Speech and Language Disorders

Biological causes Physical causes Emotional causes Brain injury Heredity

Environmental causes Neglect or abuse Poverty malnutrition

Speech Assessments

Formal tests of articulation ( phonetic amp hellip)

Spontaneous conversation samples(TOLD amp hellip)

Developmental history

Examination of mouth teeth palate (oral motor function)

Language AssessmentsFormal and informal assessmentsSamples of studentrsquos written schoolworkObservations

What child talks about How child talks about things How child functions in context of community How child uses language socially

Communication and Technology

Augmentative and alternative communication (AAC)

Unaided (low Tech) sign language

Aided (high Tech) depends on equipment or materials

Communication boardComputer with speech

processorWord prediction software

Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)

1048635 Swallowing Function

1048635 Treatment of swallowing dysfunction andor

oral function for feeding 92526

1048635 Evaluation of oral amp pharyngeal swallowing

Function 92610

1048635 Motion fluoroscopic evaluation of swallowing

function by cine or video recording 92611

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing by cine or video recording 92612

1048635 physician interpretation and report only 92613

1048635 Flexible fiberoptic endoscopic evaluation

laryngeal sensory testing by cine or video

Recording 92614

1048635 physician interpretation and report only 92615

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing and laryngeal sensory testing 92616

1048635 physician interpretation and report only 92617

Speech and Language

1048635 Evaluation of speech language voice

communication andor auditory processing 92506

1048635 Treatment of speech language voice

communication andor auditory processing

disorder

individual 92507

1048635 group two or more individuals 92508

1048635 Development of cognitive skills to improve

attention memory problem solving direct

one-on-one patient contact by the provider

each 15 minutes 97532

1048635 Sensory integrative techniques to enhance

sensory processing and promote adaptive

responses to environmental demands each

15 minutes 97533

1048635 Nasopharyngoscopy w endoscope 92511

1048635 Laryngeal function studies 92520

1048635 Evaluation of auditory rehabilitation status1st hour 92626

1048635 each additional 15 minutes 92627

1048635 PROCEDURE CPT CHARGE

1048635 Auditory rehabilitation pre-lingual hearing

Loss 92630

1048635 Auditory rehabilitation post-lingual hearing

loss 92633

1048635 Assessment of aphasia with interpretation

and report per hour 96105

1048635 Developmental testing limited winterpretation and report 96110

1048635 extended with interpretation and report 96111

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

Prevalence of Speech Language Disorders

11-12 of all students receiving special education

21 ratio boys to girls

Does not include students who receive speech and language therapy as a related service

Causes of Speech and Language Disorders

Biological causes Physical causes Emotional causes Brain injury Heredity

Environmental causes Neglect or abuse Poverty malnutrition

Speech Assessments

Formal tests of articulation ( phonetic amp hellip)

Spontaneous conversation samples(TOLD amp hellip)

Developmental history

Examination of mouth teeth palate (oral motor function)

Language AssessmentsFormal and informal assessmentsSamples of studentrsquos written schoolworkObservations

What child talks about How child talks about things How child functions in context of community How child uses language socially

Communication and Technology

Augmentative and alternative communication (AAC)

Unaided (low Tech) sign language

Aided (high Tech) depends on equipment or materials

Communication boardComputer with speech

processorWord prediction software

Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)

1048635 Swallowing Function

1048635 Treatment of swallowing dysfunction andor

oral function for feeding 92526

1048635 Evaluation of oral amp pharyngeal swallowing

Function 92610

1048635 Motion fluoroscopic evaluation of swallowing

function by cine or video recording 92611

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing by cine or video recording 92612

1048635 physician interpretation and report only 92613

1048635 Flexible fiberoptic endoscopic evaluation

laryngeal sensory testing by cine or video

Recording 92614

1048635 physician interpretation and report only 92615

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing and laryngeal sensory testing 92616

1048635 physician interpretation and report only 92617

Speech and Language

1048635 Evaluation of speech language voice

communication andor auditory processing 92506

1048635 Treatment of speech language voice

communication andor auditory processing

disorder

individual 92507

1048635 group two or more individuals 92508

1048635 Development of cognitive skills to improve

attention memory problem solving direct

one-on-one patient contact by the provider

each 15 minutes 97532

1048635 Sensory integrative techniques to enhance

sensory processing and promote adaptive

responses to environmental demands each

15 minutes 97533

1048635 Nasopharyngoscopy w endoscope 92511

1048635 Laryngeal function studies 92520

1048635 Evaluation of auditory rehabilitation status1st hour 92626

1048635 each additional 15 minutes 92627

1048635 PROCEDURE CPT CHARGE

1048635 Auditory rehabilitation pre-lingual hearing

Loss 92630

1048635 Auditory rehabilitation post-lingual hearing

loss 92633

1048635 Assessment of aphasia with interpretation

and report per hour 96105

1048635 Developmental testing limited winterpretation and report 96110

1048635 extended with interpretation and report 96111

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

Causes of Speech and Language Disorders

Biological causes Physical causes Emotional causes Brain injury Heredity

Environmental causes Neglect or abuse Poverty malnutrition

Speech Assessments

Formal tests of articulation ( phonetic amp hellip)

Spontaneous conversation samples(TOLD amp hellip)

Developmental history

Examination of mouth teeth palate (oral motor function)

Language AssessmentsFormal and informal assessmentsSamples of studentrsquos written schoolworkObservations

What child talks about How child talks about things How child functions in context of community How child uses language socially

Communication and Technology

Augmentative and alternative communication (AAC)

Unaided (low Tech) sign language

Aided (high Tech) depends on equipment or materials

Communication boardComputer with speech

processorWord prediction software

Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)

1048635 Swallowing Function

1048635 Treatment of swallowing dysfunction andor

oral function for feeding 92526

1048635 Evaluation of oral amp pharyngeal swallowing

Function 92610

1048635 Motion fluoroscopic evaluation of swallowing

function by cine or video recording 92611

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing by cine or video recording 92612

1048635 physician interpretation and report only 92613

1048635 Flexible fiberoptic endoscopic evaluation

laryngeal sensory testing by cine or video

Recording 92614

1048635 physician interpretation and report only 92615

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing and laryngeal sensory testing 92616

1048635 physician interpretation and report only 92617

Speech and Language

1048635 Evaluation of speech language voice

communication andor auditory processing 92506

1048635 Treatment of speech language voice

communication andor auditory processing

disorder

individual 92507

1048635 group two or more individuals 92508

1048635 Development of cognitive skills to improve

attention memory problem solving direct

one-on-one patient contact by the provider

each 15 minutes 97532

1048635 Sensory integrative techniques to enhance

sensory processing and promote adaptive

responses to environmental demands each

15 minutes 97533

1048635 Nasopharyngoscopy w endoscope 92511

1048635 Laryngeal function studies 92520

1048635 Evaluation of auditory rehabilitation status1st hour 92626

1048635 each additional 15 minutes 92627

1048635 PROCEDURE CPT CHARGE

1048635 Auditory rehabilitation pre-lingual hearing

Loss 92630

1048635 Auditory rehabilitation post-lingual hearing

loss 92633

1048635 Assessment of aphasia with interpretation

and report per hour 96105

1048635 Developmental testing limited winterpretation and report 96110

1048635 extended with interpretation and report 96111

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

Speech Assessments

Formal tests of articulation ( phonetic amp hellip)

Spontaneous conversation samples(TOLD amp hellip)

Developmental history

Examination of mouth teeth palate (oral motor function)

Language AssessmentsFormal and informal assessmentsSamples of studentrsquos written schoolworkObservations

What child talks about How child talks about things How child functions in context of community How child uses language socially

Communication and Technology

Augmentative and alternative communication (AAC)

Unaided (low Tech) sign language

Aided (high Tech) depends on equipment or materials

Communication boardComputer with speech

processorWord prediction software

Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)

1048635 Swallowing Function

1048635 Treatment of swallowing dysfunction andor

oral function for feeding 92526

1048635 Evaluation of oral amp pharyngeal swallowing

Function 92610

1048635 Motion fluoroscopic evaluation of swallowing

function by cine or video recording 92611

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing by cine or video recording 92612

1048635 physician interpretation and report only 92613

1048635 Flexible fiberoptic endoscopic evaluation

laryngeal sensory testing by cine or video

Recording 92614

1048635 physician interpretation and report only 92615

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing and laryngeal sensory testing 92616

1048635 physician interpretation and report only 92617

Speech and Language

1048635 Evaluation of speech language voice

communication andor auditory processing 92506

1048635 Treatment of speech language voice

communication andor auditory processing

disorder

individual 92507

1048635 group two or more individuals 92508

1048635 Development of cognitive skills to improve

attention memory problem solving direct

one-on-one patient contact by the provider

each 15 minutes 97532

1048635 Sensory integrative techniques to enhance

sensory processing and promote adaptive

responses to environmental demands each

15 minutes 97533

1048635 Nasopharyngoscopy w endoscope 92511

1048635 Laryngeal function studies 92520

1048635 Evaluation of auditory rehabilitation status1st hour 92626

1048635 each additional 15 minutes 92627

1048635 PROCEDURE CPT CHARGE

1048635 Auditory rehabilitation pre-lingual hearing

Loss 92630

1048635 Auditory rehabilitation post-lingual hearing

loss 92633

1048635 Assessment of aphasia with interpretation

and report per hour 96105

1048635 Developmental testing limited winterpretation and report 96110

1048635 extended with interpretation and report 96111

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

Language AssessmentsFormal and informal assessmentsSamples of studentrsquos written schoolworkObservations

What child talks about How child talks about things How child functions in context of community How child uses language socially

Communication and Technology

Augmentative and alternative communication (AAC)

Unaided (low Tech) sign language

Aided (high Tech) depends on equipment or materials

Communication boardComputer with speech

processorWord prediction software

Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)

1048635 Swallowing Function

1048635 Treatment of swallowing dysfunction andor

oral function for feeding 92526

1048635 Evaluation of oral amp pharyngeal swallowing

Function 92610

1048635 Motion fluoroscopic evaluation of swallowing

function by cine or video recording 92611

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing by cine or video recording 92612

1048635 physician interpretation and report only 92613

1048635 Flexible fiberoptic endoscopic evaluation

laryngeal sensory testing by cine or video

Recording 92614

1048635 physician interpretation and report only 92615

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing and laryngeal sensory testing 92616

1048635 physician interpretation and report only 92617

Speech and Language

1048635 Evaluation of speech language voice

communication andor auditory processing 92506

1048635 Treatment of speech language voice

communication andor auditory processing

disorder

individual 92507

1048635 group two or more individuals 92508

1048635 Development of cognitive skills to improve

attention memory problem solving direct

one-on-one patient contact by the provider

each 15 minutes 97532

1048635 Sensory integrative techniques to enhance

sensory processing and promote adaptive

responses to environmental demands each

15 minutes 97533

1048635 Nasopharyngoscopy w endoscope 92511

1048635 Laryngeal function studies 92520

1048635 Evaluation of auditory rehabilitation status1st hour 92626

1048635 each additional 15 minutes 92627

1048635 PROCEDURE CPT CHARGE

1048635 Auditory rehabilitation pre-lingual hearing

Loss 92630

1048635 Auditory rehabilitation post-lingual hearing

loss 92633

1048635 Assessment of aphasia with interpretation

and report per hour 96105

1048635 Developmental testing limited winterpretation and report 96110

1048635 extended with interpretation and report 96111

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

Communication and Technology

Augmentative and alternative communication (AAC)

Unaided (low Tech) sign language

Aided (high Tech) depends on equipment or materials

Communication boardComputer with speech

processorWord prediction software

Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)

1048635 Swallowing Function

1048635 Treatment of swallowing dysfunction andor

oral function for feeding 92526

1048635 Evaluation of oral amp pharyngeal swallowing

Function 92610

1048635 Motion fluoroscopic evaluation of swallowing

function by cine or video recording 92611

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing by cine or video recording 92612

1048635 physician interpretation and report only 92613

1048635 Flexible fiberoptic endoscopic evaluation

laryngeal sensory testing by cine or video

Recording 92614

1048635 physician interpretation and report only 92615

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing and laryngeal sensory testing 92616

1048635 physician interpretation and report only 92617

Speech and Language

1048635 Evaluation of speech language voice

communication andor auditory processing 92506

1048635 Treatment of speech language voice

communication andor auditory processing

disorder

individual 92507

1048635 group two or more individuals 92508

1048635 Development of cognitive skills to improve

attention memory problem solving direct

one-on-one patient contact by the provider

each 15 minutes 97532

1048635 Sensory integrative techniques to enhance

sensory processing and promote adaptive

responses to environmental demands each

15 minutes 97533

1048635 Nasopharyngoscopy w endoscope 92511

1048635 Laryngeal function studies 92520

1048635 Evaluation of auditory rehabilitation status1st hour 92626

1048635 each additional 15 minutes 92627

1048635 PROCEDURE CPT CHARGE

1048635 Auditory rehabilitation pre-lingual hearing

Loss 92630

1048635 Auditory rehabilitation post-lingual hearing

loss 92633

1048635 Assessment of aphasia with interpretation

and report per hour 96105

1048635 Developmental testing limited winterpretation and report 96110

1048635 extended with interpretation and report 96111

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)

1048635 Swallowing Function

1048635 Treatment of swallowing dysfunction andor

oral function for feeding 92526

1048635 Evaluation of oral amp pharyngeal swallowing

Function 92610

1048635 Motion fluoroscopic evaluation of swallowing

function by cine or video recording 92611

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing by cine or video recording 92612

1048635 physician interpretation and report only 92613

1048635 Flexible fiberoptic endoscopic evaluation

laryngeal sensory testing by cine or video

Recording 92614

1048635 physician interpretation and report only 92615

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing and laryngeal sensory testing 92616

1048635 physician interpretation and report only 92617

Speech and Language

1048635 Evaluation of speech language voice

communication andor auditory processing 92506

1048635 Treatment of speech language voice

communication andor auditory processing

disorder

individual 92507

1048635 group two or more individuals 92508

1048635 Development of cognitive skills to improve

attention memory problem solving direct

one-on-one patient contact by the provider

each 15 minutes 97532

1048635 Sensory integrative techniques to enhance

sensory processing and promote adaptive

responses to environmental demands each

15 minutes 97533

1048635 Nasopharyngoscopy w endoscope 92511

1048635 Laryngeal function studies 92520

1048635 Evaluation of auditory rehabilitation status1st hour 92626

1048635 each additional 15 minutes 92627

1048635 PROCEDURE CPT CHARGE

1048635 Auditory rehabilitation pre-lingual hearing

Loss 92630

1048635 Auditory rehabilitation post-lingual hearing

loss 92633

1048635 Assessment of aphasia with interpretation

and report per hour 96105

1048635 Developmental testing limited winterpretation and report 96110

1048635 extended with interpretation and report 96111

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

1048635 Flexible fiberoptic endoscopic evaluation of

swallowing and laryngeal sensory testing 92616

1048635 physician interpretation and report only 92617

Speech and Language

1048635 Evaluation of speech language voice

communication andor auditory processing 92506

1048635 Treatment of speech language voice

communication andor auditory processing

disorder

individual 92507

1048635 group two or more individuals 92508

1048635 Development of cognitive skills to improve

attention memory problem solving direct

one-on-one patient contact by the provider

each 15 minutes 97532

1048635 Sensory integrative techniques to enhance

sensory processing and promote adaptive

responses to environmental demands each

15 minutes 97533

1048635 Nasopharyngoscopy w endoscope 92511

1048635 Laryngeal function studies 92520

1048635 Evaluation of auditory rehabilitation status1st hour 92626

1048635 each additional 15 minutes 92627

1048635 PROCEDURE CPT CHARGE

1048635 Auditory rehabilitation pre-lingual hearing

Loss 92630

1048635 Auditory rehabilitation post-lingual hearing

loss 92633

1048635 Assessment of aphasia with interpretation

and report per hour 96105

1048635 Developmental testing limited winterpretation and report 96110

1048635 extended with interpretation and report 96111

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

1048635 Nasopharyngoscopy w endoscope 92511

1048635 Laryngeal function studies 92520

1048635 Evaluation of auditory rehabilitation status1st hour 92626

1048635 each additional 15 minutes 92627

1048635 PROCEDURE CPT CHARGE

1048635 Auditory rehabilitation pre-lingual hearing

Loss 92630

1048635 Auditory rehabilitation post-lingual hearing

loss 92633

1048635 Assessment of aphasia with interpretation

and report per hour 96105

1048635 Developmental testing limited winterpretation and report 96110

1048635 extended with interpretation and report 96111

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

1048635 Standardized cognitive performance testing(eg Ross Information ProcessingAssessment) per hour of a qualified healthcare professionalrsquos time both face-to-facetime administering tests to the patient andtime interpreting these test results andpreparing the report 961251048635 Laryngoscopy flexible fiberoptic diagnostic 315751048635 Laryngoscopy flexible or rigid fiberoptic withstroboscopy 31579

Augmentative and Alternative Communication

1048635 Evaluation for usefitting of voice prosthetic

device to supplement oral speech 92597

1048635 Evaluation for prescription of non-speech

generating augmentative and alternative

communication device 92605

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

1048635 Therapeutic service(s) for the use of nonspeech

generating augmentative and

alternative communication device including

programming and modification 92606

1048635 Evaluation for prescription for speechgenerating

augmentative and alternative

communication device face-to-face with the

patient

first hour 92607

1048635 each additional 30 minutes 92608

1048635 Therapeutic services for the use of speechgenerating

device including programming

and modification 92609

1048635 RepairModification of AAC device (excluding

adaptive hearing aid) V5336

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

Other Procedures

1048635 Otorhinolaryngological service or procedure 92700

1048635 Telephone assessment and management

service provided by a qualified nonphysician

health care professional to an established

patient parent or guardian not originating

from a related assessment and management

service provided within the previous seven

days nor leading to an assessment and

management service or procedure with the

next 24 hours or soonest available

appointment

5-10 minutes of medical discussion 98966

1048635 11-20 minutes of medical discussion 98967

1048635 21-30 minutes of medical discussion 98968

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

1048635 Online assessment amp management service

provided by a qualified nonphysician health

care professional to an established patient

guardian or health care provider not

originating from a related assessment amp

management service provided within the

previous 7 days using the Internet or similar

electronic communications network 98969

Medical team conference with

interdisciplinary team of health care

professionals face-to-face with patient andor

family 30 minutes or more participation by

nonphysician qualified health care

Professional 99366

1048635 Medical team conference with

interdisciplinary team of health care

professionals patient andor family not

present 30 minutes or more participation by

nonphysician qualified health care

Professional 99368

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention

THANK YOU FOR YOUR ATTENTION

Try to become not a man of success but try rather to become a man of valueAlbert Einstein

• December 2014
• Speech and Language Disorders
• Definition
• Description
• Slide 5
• Communication
• Slide 7
• Slide 8
• 5 Components of Language
• Structure of language(linguistic approach)
• Definition
• Language development
• Slide 13
• Language Disorders (for example)
• Classification(According to cause)
• Receptive Language Problems
• Expressive Language Problems
• Dimensions of Speech
• Speech disorders
• Speech disorders (2)
• Causation
• Speech disorders (3)
• Prevalence of Speech Language Disorders
• Causes of Speech and Language Disorders
• Speech Assessments
• Language Assessments
• Communication and Technology
• Slide 28
• Overview of Services Speech therapyhellip (PROCEDURE CPT CHARGE)
• Slide 30
• Slide 31
• Slide 32
• Slide 33
• Slide 34
• Slide 35
• Thank you for your attention