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Speech Therapy - Cigna

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Page 1 of 31 Medical Coverage Policy: 0177 Medical Coverage Policy Effective Date ........................................ ..... 3/15/2022 Next Review Date ....................................... 2/15/2023 Coverage Policy Number .................................. 0177 Speech Therapy Table of Contents Overview ........................................ ...................... 1 Coverage Policy ........................................ ........... 1 General Background ........................................ .... 4 Medicare Coverage Determinations .................. 22 Coding/Billing Information .................................. 22 References.

• The therapy plan includes quantifiable, attainable short- and long-term treatment goals against which progress will be documented. • The therapy being ordered requires the one-to-one intervention and supervision of a speech-language pathologist or audiologist.

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