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Speech Therapy - Cigna

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 - Facilitated Communication Speech Generating Devices INSTRUCTIONS FOR USE The following Coverage Policy applies to health benefit plans administered by Cigna Companies.

• The swallowing or feeding disorder is the result of an underlying medical condition. • The medical necessity of the therapy has been demonstrated by results of testing with a videofluorographic swallowing study (VFSS) or other appropriate testing in combination with an evaluation by a certified speech-language pathologist.

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  Evaluation, Feeding, Swallowing

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