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Coding for Evaluation and Treatment

Health Care Regulatory Analysis, American Speech-Language-Hearing Association
Rockville, MD

Steve White

Health Care Economics and Advocacy, American Speech-Language-Hearing Association
Rockville, MD

This article explains the development and use of ICD-9-CM diagnosis codes, CPT procedure codes, and HCPCS supply/device codes. Examples of appropriate coding combinations, and Coding rules adopted by most third party payers are given. Additionally, references for complete code lists on the Web and a list of voice-related CPT code edits are included. The reader is given adequate information to report an evaluation or treatment session with accurate diagnosis, procedure, and supply/device codes. Speech-language pathologists can accurately code services when given adequate resources and rules and are encouraged to insert relevant codes in the medical record rather than depend on billing personnel to accurately provide this information. Consultation is available from the Division 3 Reimbursement Committee members and from reimbursement{at}asha.org.