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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)
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
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
-
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)
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
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
-
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
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
-
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
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
-
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
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
-
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
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
-
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
-
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
-
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