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Codes and Criteria for Fluency Disability

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The document outlines the criteria and codes for assessing fluency disabilities in children, detailing impairment codes, evidence codes, and adverse effects on educational performance. It specifies eligibility requirements based on disfluencies in speech, measurement methods for frequency, duration, rate of speech, and naturalness. The document emphasizes the need for objective data to support claims of impairment and adverse educational impact, while also providing guidelines for evaluating coping mechanisms and covert stuttering behaviors.

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What is the ICD 10 codes for fluency disorder?

ICD-10 code R47. 82 for Fluency disorder in conditions classified elsewhere is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

What is the CPT code for fluency treatment?

92521 Evaluation of speech fluency (e.g., stuttering, cluttering) 92522 Evaluation of speech sound production (e.g., articulation, phonological process, apraxia, dysarthria)

Is fluency disorder a disability?

Childhood-onset fluency disorder, the most common form of stuttering, is a neurologic disability resulting from an underlying brain abnormality that causes disfluent speech.

What is CPT code 31579?

The Current Procedural Terminology (CPT) code 31579 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopy Procedures on the Larynx.

What is CPT code 92522 and 92523?

92522 Evaluation of speech sound production (e.g., articulation, phonological process, apraxia, dysarthria) 92523 Evaluation of speech sound production (e.g., articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (e.g., receptive and expressive language)

What is the CPT code for fluency disorder?

The 92521 CPT code should be used by speech-language pathologists when evaluating a patient for a fluency disorder. Appropriate understanding and use of this code can facilitate proper documentation and reimbursement of services.

What is the criteria for fluency disorder?

A fluency disorder is an interruption in the flow of speaking characterized by atypical rate, rhythm, and disfluencies (e.g., repetitions of sounds, syllables, words, and phrases; sound prolongations; and blocks), which may also be accompanied by excessive tension, speaking avoidance, struggle behaviors, and secondary

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