Name of the Procedure:

Spoken Language Comprehension Functional Limitation, Discharge Status (HCPCS G9161)

Summary

This procedure involves evaluating a patient's ability to understand spoken language at the end of a therapy program or when reporting is completed. It is used to assess whether the patient's spoken language comprehension has improved, remained the same, or worsened after therapy.

Purpose

The primary purpose is to determine the discharge status of a patient's spoken language comprehension. The evaluation helps in understanding the effectiveness of the therapy and in planning any further necessary treatment. It aims to ensure that patients can understand spoken language to a functional degree before being discharged from therapy.

Indications

This procedure is indicated for patients who have undergone speech and language therapy due to conditions like stroke, traumatic brain injury, neurological disorders, or developmental delays that impact their spoken language comprehension.

Preparation

• No specific fasting or medication adjustments are typically required.
• Prior to the evaluation, the patient may undergo diagnostic assessments such as audiometry tests to rule out hearing issues.

Procedure Description

1. A speech-language pathologist (SLP) conducts the evaluation.
2. The SLP uses standardized assessment tools and tests to measure the patient's ability to comprehend spoken language.
3. The tests may include following simple and complex instructions, answering questions based on spoken information, and identifying objects or actions when prompted.
4. Data from the tests are collected and analyzed to determine the patient’s comprehension level at discharge.

Duration

The procedure usually takes about 30 minutes to an hour, depending on the complexity of the assessment tools used.

Setting

This evaluation is typically performed in:

• Outpatient clinics
• Rehabilitation centers
• Hospitals

Personnel

• Speech-Language Pathologist (SLP)

Risks and Complications

• There are no significant medical risks or complications associated with this evaluation.
• In rare cases, patients may experience frustration or anxiety during the assessment, which can be managed with reassurance and breaks.

Benefits

• Determining the patient’s spoken language comprehension status helps in tailoring future treatments or therapies.
• Helps in making informed decisions about discharge and follow-up care.
• Useful for documenting progress and setting realistic goals for patients.

Recovery

• There is no physical recovery needed as this is a non-invasive evaluation.
• Mental and emotional reassurance may be provided to patients who find the assessment challenging.

Alternatives

• Alternate assessments could include written language comprehension tests or practical comprehension evaluations in real-world settings (e.g., understanding instructions during activities).
• Comparing a patient’s performance in different communication settings can provide a well-rounded view of their language comprehension abilities.

Patient Experience

• During the procedure, the patient should feel comfortable and supported.
• The SLP will ensure a calm environment and may provide rest periods if needed.
• Post-evaluation, results will be discussed with the patient to plan any additional steps or therapies required.