Name of the Procedure:

Memory Functional Limitation, Projected Goal Status at Therapy Episode Outset, at Reporting Intervals, and at Discharge or End Reporting (HCPCS Code G9169)

Summary

This procedure involves evaluating and documenting the patient's memory functional limitations and setting projected goals at the start of therapy, reassessing at regular intervals, and at discharge or the end of reporting. It's part of a broader therapeutic approach to enhance memory functions in patients with cognitive impairments.

Purpose

The procedure addresses memory problems, often seen in conditions like traumatic brain injury, dementia, or stroke. The goal is to identify the patient's memory challenges, set realistic therapy goals, monitor progress, and adjust the treatment plan as needed for optimal recovery.

Indications

• Memory deficits due to neurological conditions (e.g., Alzheimer's, dementia)
• Cognitive impairments from a traumatic brain injury or stroke
• Memory challenges affecting day-to-day activities and quality of life

Preparation

• No specific patient preparation needed.
• Initial cognitive assessments and memory tests are conducted to establish a baseline.

Procedure Description

1. Initial Evaluation: The therapist conducts a detailed assessment of the patient's memory functions, using standardized cognitive tests.
2. Goal Setting: Based on the evaluation, the therapist sets individualized, measurable goals addressing specific memory limitations.
3. Regular Intervals Reporting: The patient's progress is reassessed at planned intervals to monitor improvements or necessary modifications in the therapy plan.
4. Final Assessment: At discharge or end of reporting, the therapist reassesses the patient's memory functions to document final outcomes and progress.

Duration

The initial evaluation may take 1-2 hours. Ongoing assessments typically take around 30-60 minutes, depending on patient needs.

Setting

The procedure is typically performed in:

• Outpatient therapy clinics
• Rehabilitation centers
• Long-term care facilities

Personnel

• Licensed occupational therapist or speech-language pathologist
• Possibly supported by therapy aides or assistants

Risks and Complications

• The procedure is non-invasive, so risks are minimal.
• Rarely, patients might experience mild frustration or fatigue from cognitive testing.

Benefits

• Enhanced understanding of the patient’s memory deficits.
• Tailored therapeutic interventions to improve memory.
• Improved overall cognitive function, potentially enhancing daily living activities.

Recovery

• No specific recovery period as the procedure is evaluative and therapeutic.
• Continuous therapy and reassessment help track gradual improvement.

Alternatives

• Neuropsychological evaluations for a more comprehensive cognitive assessment.
• Medication management for memory disorders (e.g., Donepezil for Alzheimer’s).
• Cognitive rehabilitation programs focusing on broader aspects of cognition.

Patient Experience

• The patient may feel mentally fatigued after assessments.
• Therapists employ various techniques to ensure comfort and minimize stress.
• Ongoing feedback and supportive counseling are integral for motivation and reassurance.