92609 Therapeutic services for the use of speech-generating device, including programming and modification

Name of the Procedure:

Therapeutic services for the use of speech-generating device Common name(s): Speech-generating device therapy, SGD therapy; Medical term: Augmentative and Alternative Communication (AAC) therapy.

Summary

This procedure involves professional therapeutic services to assist individuals in using speech-generating devices (SGDs). The therapy includes the initial programming of the device as well as ongoing modifications to ensure it meets the user’s evolving needs.

Purpose

The procedure addresses communication challenges, particularly for those with speech impairments due to various conditions. The goal is to enable effective communication, improving independence and quality of life for the user.

Indications

• Severe speech or language impairments.
• Non-verbal conditions such as autism, cerebral palsy, or ALS.
• Any patient who can benefit from assistive communication technology.

Preparation

• Initial consultation to assess communication needs.
• Selection and customization of the speech-generating device.
• No special fasting or medication adjustments typically required.

Procedure Description

1. Initial Evaluation: A speech-language pathologist (SLP) assesses the patient’s communication abilities and needs.
2. Device Selection: Based on the assessment, a suitable SGD is selected.
3. Programming: The SGD is programmed with personalized vocabulary and settings.
4. Training: The SLP conducts sessions to train the patient and caregivers on how to effectively use the device.
5. Modifications: Ongoing sessions to modify the device settings as needed, based on the user’s progress and changing needs.

Duration

Each session typically lasts between 30 minutes to an hour. The initial set-up and training might require several sessions over a few weeks.

Setting

The procedure is usually performed in an outpatient clinic, rehabilitation center, or the patient’s home.

Personnel

• Speech-language pathologist (SLP)
• Support staff or caregivers

Risks and Complications

• Device malfunction or operational issues.
• User frustration during the learning process.
• Complications are rare but may include incorrect programming leading to ineffective communication.

Benefits

• Improved ability to communicate effectively.
• Enhanced social interactions and independence.
• Benefits are often realized within a few weeks to months, depending on the individual’s learning curve.

Recovery

• Ongoing practice and adaptation are crucial.
• No recovery time in the traditional sense; however, regular follow-up sessions with the SLP to ensure device efficacy and make necessary adjustments.

Alternatives

• Manual communication boards.
• Sign language or other forms of manual communication.
• Oral speech therapy alone.
  • Pros of SGD Therapy: Higher customization, immediate communication feedback.
  • Cons of SGD Therapy: Requires maintenance and regular updates.

Patient Experience

• Patients may initially feel overwhelmed or frustrated but typically adapt with practice.
• Minimal discomfort, with an emphasis on making the user comfortable with the device.
• Pain management is not typically a concern, but emotional support and encouragement are vital.