Name of the Procedure:

Common Name: Spoken Language Expression Functional Limitation Assessment
Technical/Medical Term: G-code G9163 as per HCPCS

Summary

The Spoken Language Expression Functional Limitation procedure evaluates a patient's spoken language abilities to identify functional limitations. The assessment is conducted at the start of therapy, at regular reporting intervals, and upon discharge to gauge progress and adjust treatment plans accordingly.

Purpose

This procedure aims to:

• Assess spoken language limitations in patients with speech disorders.
• Set realistic therapy goals.
• Track progress throughout the treatment.
• Optimize therapeutic strategies for improved communication outcomes.

Indications

• Patients with speech disorders from conditions like aphasia, stroke, or traumatic brain injury.
• Any patient experiencing difficulties in verbal communication affecting daily functioning.
• Individuals needing a baseline spoken language assessment before starting therapy.

Preparation

• Patients may need to fill out preliminary questionnaires regarding their speech and language history.
• No specific fasting or medication adjustments required.
• Pre-assessment interviews and basic cognitive evaluations may be administered.

Procedure Description

1. Initial Assessment: The speech-language pathologist (SLP) conducts a baseline evaluation using standardized speech tests and observational methods.
2. Goal Setting: Based on the initial findings, therapy goals are established.
3. Regular Evaluations: At pre-determined intervals, the SLP reassesses spoken language function to monitor progress.
4. Final Assessment: Upon discharge or therapy completion, a comprehensive reassessment is performed to document outcomes and any remaining limitations.

Tools and Technology Used

• Speech analysis software
• Standardized speech and language assessment tools
• Recording devices for speech samples

Anesthesia or Sedation

• Not applicable for this non-invasive procedure.

Duration

The initial assessment typically takes about 1-2 hours. Follow-up evaluations usually last around 30-60 minutes.

Setting

• Outpatient clinics
• Rehabilitation centers
• Hospitals

Personnel

• Speech-Language Pathologist (SLP)
• Supporting clinical staff (if required)

Risks and Complications

• Minimal to no physical risk.
• Psychological discomfort or frustration if the assessment is perceived as challenging.

Benefits

• Improved understanding of the patient's speech limitations.
• Tailored therapy plans for more effective treatment outcomes.
• Enhanced communication skills leading to better quality of life.
• Benefits can often be observed gradually over the course of therapy.

Recovery

• No physical recovery needed.
• Psychological adaptation as confidence in communication improves over time.
• Regular follow-up sessions to adjust and refine therapy strategies.

Alternatives

• Alternative speech-related assessments such as written language evaluation.
• Technological aids like speech synthesizers and communication boards.
• Intensive language therapy programs.
• Each alternative has its own set of benefits and limitations based on the individual’s specific needs.

Patient Experience

• Patients may experience feelings of vulnerability or frustration during initial assessments.
• Positive reinforcement and supportive feedback are used to maintain motivation.
• Pain management is not typically an issue, but comfort measures include breaks during longer sessions and a supportive environment.