Speech-Language Pathology Services for the Treatment of Dysphagia Form

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Speech-Language Pathology Services for the Treatment of Dysphagia

Notes: Coverage is provided under Medicare for the treatment of dysphagia, regardless of the presence of a communication disability.

Indications

(392418) Does the patient have a swallowing disorder such as dysphagia? 
(392419) Is the patient motivated and moderately alert? 
(392420) Does the patient have some degree of deglutition and swallowing functions? 

Contraindications

(392421) Is the therapy aimed at maintaining swallowing safety of the patient during oral feedings? 
(392422) Is the therapy intended to maintain adequate nutrition? 
Effective Date

10/01/2006

Last Reviewed

NA

Original Document

  Reference



Background for this Policy

Dysphagia is a swallowing disorder that may be due to various neurological, structural, and cognitive deficits. Dysphagia may be the result of head trauma, cerebrovascular accident, neuromuscular degenerative diseases, head and neck cancer, and encephalopathies. While dysphagia can afflict any age group, it most often appears among the elderly.

Patients who are motivated, moderately alert, and have some degree of deglutition and swallowing functions are appropriate candidates for dysphagia therapy. Elements of the therapy program can include thermal stimulation to heighten the sensitivity of the swallowing reflex, exercises to improve oral-motor control, training in laryngeal adduction and compensatory swallowing techniques, and positioning and dietary modifications. Design all programs to ensure swallowing safety of the patient during oral feedings and maintain adequate nutrition.

Speech-language pathology services are covered under Medicare for the treatment of dysphagia, regardless of the presence of a communication disability.

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