SpeechPathology.com Phone: 800-242-5183


EdTheory Build Your Career 2018

Pediatric Assessment Code

Dee Adams Nikjeh, Ph.D., CCC-SLP

September 8, 2014

Share:

Question

If my speech and language testing for a 5-year-old child includes two 1-hour sessions on separate days plus a 45 minute additional session with the parents to explain results, how is this coded?

Answer

This is only coded once.  There is actually two hours of time built into the value of 92523 and that does include discussion with the parent or caregiver.  Whether you spend 10 minutes or 45 minutes with the parents, 45 minutes is not going to be recognized.  It is going to be looked at as very excessive.  It is difficult to get that post-treatment time built in.  However, we do have a number of minutes built in to that 92523.  I do not recommend that you bill this code more than once, that you do not string it out over several sessions.  I would try and get the evaluation done in one time.  If you need to do further tests and measures as an assessment to supplement, then I could look at that as a 92507, which is a treatment session.  

Dr. Nikjeh is co-chair of the Health Care Economics Committee of the American Speech Language and Hearing Association (ASHA). She has appeared before the U.S. Dept of Health and Human Services on behalf of ASHA to propose new diagnostic codes and modifications of existing codes for the benefit of speech-language pathologists.  Dr. Nikjeh is an ASHA advisor to the American Medical Association Health Care Practitioner Advisory Committee where she has presented speech-language pathology procedure codes for valuation of professional service.


dee adams nikjeh

Dee Adams Nikjeh, Ph.D., CCC-SLP

Dr. Nikjeh is co-chair of the Health Care Economics Committee of the American Speech Language and Hearing Association (ASHA). She has appeared before the U.S. Dept of Health and Human Services on behalf of ASHA to propose new diagnostic codes and modifications of existing codes for the benefit of speech-language pathologists.  Dr. Nikjeh is an ASHA advisor to the American Medical Association Health Care Practitioner Advisory Committee where she has presented speech-language pathology procedure codes for valuation of professional service. Her clinical experience spans thirty years.  She provides services for patients of West Coast Ear, Nose and Throat Association specializing in endoscopic procedures for evaluation and management of voice disorders.  Dr. Nikjeh is a consultant for the United States Dept. of Justice, Civil Division-Fraud Section and is an associate of Fearon & Levine, a national consulting firm that focuses on practice management and payment policy in outpatient rehabilitation settings. Dr. Nikjeh is an ASHA Fellow and has served on ASHA's Legislative Council and Executive Board of the Council of State Association Presidents. She is a past-president of the Florida Association of Speech Language Pathologists and Audiologists.


Related Courses

Speech Language Pathology Healthcare Coding and Payment Update: What’s New for ‘22!
Presented by Dee Adams Nikjeh, PhD, CCC-SLP, ASHA Fellow
Video

Presenter

Dee Adams Nikjeh, PhD, CCC-SLP, ASHA Fellow
Course: #10031Level: Intermediate1.5 Hours
  'very specific info for slp as well as describing how to handle multiple therapies occurring same day'   Read Reviews
Up-to-date knowledge of healthcare code sets, including Current Procedural Terminology (CPT) and International Classification of Diseases, 10th revision (ICD-10) diagnostic codes, is a MUST for optimal professional practice. The latest modifications impacting SLP clinical practice and claim submissions are discussed, as well as relevant adjustments in the 2022 Medicare Physician Fee Schedule.

Payment for SLP Services: Navigating Payer Sources, Payment Systems, & Practice Settings
Presented by Dee Adams Nikjeh, PhD, CCC-SLP, ASHA Fellow
Video

Presenter

Dee Adams Nikjeh, PhD, CCC-SLP, ASHA Fellow
Course: #9453Level: Intermediate1 Hour
  'Instructor's knowledge of topic and ability to synthesize information'   Read Reviews
Accurate payment for SLP services depends on compliance with payer guidelines (e.g., coverage, supervision) and the specific payment system (e.g., prospective payment, fee-for-service) relevant to the practice setting (e.g., inpatient, outpatient) in which the service is provided. This course will define and illustrate the interrelationship of these three professional elements, including their relevance to supervision requirements, and will provide resources for further assistance.

Facilitating First Verbs through Shared Book Reading
Presented by Susan Hendler Lederer, PhD, CCC-SLP
Video

Presenter

Susan Hendler Lederer, PhD, CCC-SLP
Course: #9735Level: Introductory1 Hour
  'Presenter's style, examples, functional applications'   Read Reviews
This course discusses early verb acquisition, choosing first verb targets, and a variety of strategies to facilitate verb learning using children’s picture books as a therapy context.

The Role of Relationships in Early Development: The Connection Between Experiences and Language Capacity
Presented by Alison D. Peak, LCSW, IMH-E
Video

Presenter

Alison D. Peak, LCSW, IMH-E
Course: #8727Level: Introductory1 Hour
  'Straight to the point'   Read Reviews
This course will provide information on the connection between early experiences and early formation of language. Through this framework, the course will look at the impact of Adverse Childhood Experiences (ACEs) and serve-and-return interactions on the language gap that exists for many communities across the US.

Embedding Intervention Strategies into Everyday Activities of Infants/Toddlers and Their Families
Presented by Juliann Woods, PhD, CCC-SLP
Video

Presenter

Juliann Woods, PhD, CCC-SLP
Course: #9269Level: Intermediate1 Hour
  'Great course but providing more examples in routines would be helpful'   Read Reviews
While embedded intervention is logically appealing and commonly accepted as a recommended practice, implementation often lacks the intentionality and sufficiency necessary to facilitate child progress and caregiver confidence. This course will highlight both intervention and implementation strategies to increase dosage and generalization of learning for young children. This course is presented in partnership with the American Board of Child Language and Language Disorders (ABCLLD).

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.