92605 Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour

Name of the Procedure:

Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour
Common name: AAC Evaluation
Medical term: Augmentative and Alternative Communication Device Evaluation

Summary

In this evaluation, healthcare professionals assess a patient's communication needs and determine the suitability of a non-speech-generating augmentative and alternative communication (AAC) device. The process includes face-to-face interaction with the patient to thoroughly understand their requirements.

Purpose

The purpose of the evaluation is to address communication challenges in individuals who cannot effectively utilize speech. The goal is to identify an appropriate AAC device that enhances the patient's ability to communicate.

Indications

• Conditions such as ALS, cerebral palsy, or aphasia
• Significant speech impairments or the inability to speak
• Difficulty in effective verbal communication despite other interventions

Preparation

• No special preparation is usually required.
• Patients may bring any existing communication aids they are using.
• Medical history and relevant prior assessments may be reviewed by the provider.

Procedure Description

1. The evaluation begins with an interview to gather background information.
2. An assessment of the patient's communication abilities and needs is conducted.
3. Trials with various AAC devices and techniques to determine the most suitable options.
4. Recommendations are made based on the findings.

Tools and Equipment Used:

• Various AAC devices (e.g., picture boards, communication books)
• Assessment tools like language and cognitive tests

Anesthesia:

• Not applicable

Duration

The initial evaluation typically takes one hour but may require additional sessions for comprehensive assessment.

Setting

The procedure is performed in an outpatient clinic or specialized communication center.

Personnel

• Speech-language pathologists
• Occupational therapists (if applicable)
• Other relevant healthcare professionals

Risks and Complications

• Minimal risks involved
• Potential frustration or fatigue for the patient during the assessment

Benefits

• Improved communication
• Enhanced quality of life
• Greater independence in expressing needs and thoughts

Recovery

• No physical recovery required
• Follow-up appointments to adjust and optimize the AAC device usage

Alternatives

• Speech therapy without devices
• Use of other communication methods like sign language
• Pros: Immediate implementation, no device dependency
• Cons: Might not be as effective for severe speech impairments

Patient Experience

During the evaluation, the patient will actively participate in trying out different communication devices. They might feel a sense of trial and error but will be guided for optimal comfort. Post-evaluation, adjustments and further training sessions may be required to fine-tune the use of the chosen AAC device.