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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 ........................................ ................ 23 Related Coverage Resources Attention-Deficit/Hyperactivity Disorder (ADHD): Assessment and Treatment Autism Spectrum Disorders/Pervasive Developmental Disorders: Assessment and Treatment Cochlear and Auditory Brainstem Implants Cognitive rehabilitation Electric Stimulation for Pain, Swelling and Function in a Clinic Setting Electrical Stimulation Therapy and Home Devices Nutritional Support Occupational Therapy Pediatric Intensive Feeding Programs Sensory and Auditory Integration Therapy - F

Outpatient Acute Rehabilitation Pediatric Intensive Feeding Programs ... considered a form of speech therapy. ... referral, prescription). • The therapy being ordered requires the one-to-one intervention and supervision of a speech-language pathologist.

  Form, Rehabilitation, Referral, Outpatient

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