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Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patient and time interpreting these test results and prepari

CPT4 code

Name of the Procedure:

Standardized Cognitive Performance Testing (e.g., Ross Information Processing Assessment)

Summary

Standardized Cognitive Performance Testing assesses cognitive functions such as memory, attention, and information processing. This evaluation helps identify possible cognitive impairments.

Purpose

The procedure addresses cognitive deficits that impact daily functioning. The goal is to determine the extent and nature of cognitive impairment to guide treatment planning and interventions.

Indications

  • Memory loss
  • Difficulty concentrating
  • Suspected cognitive decline or dementia
  • Post-stroke cognitive assessment
  • Traumatic brain injury

Preparation

  • No specific fasting or medication adjustments are required.
  • Bring any previous cognitive test results and a list of current medications.
  • Ensure adequate rest before the test.

Procedure Description

  1. The healthcare professional explains the test process to the patient.
  2. The patient completes various cognitive tasks, which may include problem-solving exercises, memory tests, and attention assessments.
  3. The professional observes, records, and scores the patient’s performance.
  4. The data is then interpreted to identify areas of cognitive strength and weakness.
  5. A comprehensive report is prepared, detailing the findings and recommendations.

Tools used include standardized test booklets, digital assessment tools, and scoring sheets. No anesthesia or sedation is involved.

Duration

Typically takes about 1 hour per session.

Setting

Performed in an outpatient clinic, neuropsychology office, or healthcare professional's office.

Personnel

  • Licensed neuropsychologist or speech-language pathologist
  • Trained healthcare professionals may assist if needed

Risks and Complications

  • Minimal risk involved
  • Patients may experience mild stress or fatigue due to the nature of cognitive tasks

Benefits

  • Accurate assessment of cognitive function
  • Identifies specific cognitive deficits
  • Guides suitable interventions and treatment plans
  • Helps track cognitive changes over time

Recovery

  • No recovery time needed
  • Possible follow-up appointments for additional testing or reassessment
  • Patients can resume normal activities immediately after the test

Alternatives

  • Informal cognitive assessments
  • MRI or CT scan to detect structural brain abnormalities
  • Psychiatric evaluation

Pros of standardized testing include structured and validated measures of cognitive function. Cons might be the time commitment and potential patient anxiety.

Patient Experience

Patients may feel mentally taxed during the tests but are typically comfortable under the guidance of experienced professionals. Throughout the procedure, efforts are made to keep the patient comfortable and stress-free. Pain management is not required as the procedure is non-invasive.

Medical Policies and Guidelines for Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patient and time interpreting these test results and prepari

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