However, many local Medicare Administrative Contractors (MACs) do delineate a role for SLPs in this area of treatment through local coverage determinations (LCDs). Medicareįederal laws and regulations governing the provision of speech-language pathology services under Medicare do not as clearly define the role of SLPs in treating cognitive impairments as they do for speech, language, voice, and swallowing disorders. It is also critical for SLPs to establish medical necessity for cognitive evaluation and treatment services and provide clear documentation to support the need for the skilled care.
Which Current Procedural Terminology (CPT® American Medical Association) and International Classification of Diseases (ICD) codes are eligible for cognitive services. Whether there are requirements for prior authorization or specific visit limits. Whether other factors contribute to level of coverage (e.g., the patient’s underlying medical condition or the setting in which services are provided). What provider types are eligible to provide cognitive services. Whether cognitive evaluation and therapy services are covered. SLPs should seek guidance in the following areas: Generally, SLPs can find payer coverage guidelines in medical policy documents related to speech-language pathology services or cognitive therapy/rehabilitation. Policies are often limited to services for patients diagnosed with specific medical conditions-such as stroke or traumatic brain injury (TBI)-and may also exclude cognitive services for specific conditions such as mild TBI, developmental disorders, or neurodegenerative diseases.Īlways verify payer coverage policies before providing cognitive evaluation and therapy services. It is important for SLPs to understand that there is significant variability in coverage for services for patients with cognitive impairments. It is critical for speech-language pathologists (SLPs) to understand coverage policies for the payers they commonly bill, to verify coverage for each patient prior to initiating services, and to be familiar with appropriate diagnosis and procedure coding for accurate claims submission. Payment and coverage of speech-language pathology services related to the evaluation and treatment of cognitive impairments varies widely based on factors such as the patient’s medical condition, the payer, and the patient’s specific health insurance plan. doi:10.Considerations for Speech-Language Pathologists Protocol for the development of versions of the Montreal Cognitive Assessment (MoCA) for people with hearing or vision impairment. Avoiding spectrum bias caused by healthy controls. Diagnostic accuracy of the Montreal Cognitive Assessment (MoCA) for cognitive screening in old age psychiatry: Determining cutoff scores in clinical practice. 
Validity of the Montreal Cognitive Assessment (MoCA) index scores: A comparison with the cognitive domain scores of the Seoul Neuropsychological Screening Battery (SNSB). Montreal Cognitive Assessment scale in patients with Parkinson Disease with normal scores in the Mini-Mental State Examination. Vásquez KA, Valverde EM, Aguilar DV, Gabarain HH. Clock-drawing test: You're asked to draw a clock that reads 10 minutes past 11:00.This task tests the ability to pay attention.
Moca test cpt code series#
Attention: The test-taker is asked to repeat a series of numbers forward and then a different series backward. 
The person is asked to name each one. This is mainly used to test verbal fluency.
Animal naming: Three pictures of animals are shown. The proverb interpretation test is another way to measure these skills. This checks your abstract reasoning, which is often impaired in dementia. Abstraction: You are asked to explain how two items are alike, such as a train and a bicycle. It then asks you to list all the words in the sentences that start with the letter "F." Language: This task asks you to repeat two sentences correctly. The test also asks you to draw a cube shape. It asks you to draw a line to sequence alternating digits and letters (1-A, 2-B, etc.). 
Executive function/ visuospatial ability: These two abilities are checked through the Trails B Test.
If they can't recall them, they're given a cue of the category that the word belongs to. After completing other tasks, the person is asked to repeat each of the five words again. Short-term memory/delayed recall: Five words are read.Orientation: The test administrator asks you to state the date, month, year, day, place, and city.
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