ICD10-PCS Terms for Physical Rehabilitation and Diagnostic Audiology section

Acoustic Reflex Decay

Measures reduction in size/strength of acoustic reflex over time

Includes:

• Includes site of lesion test

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Acoustic Reflex Patterns

Defines site of lesion based upon presence/absence of acoustic reflexes with ipsilateral vs. contralateral stimulation

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Acoustic Reflex Threshold

Determines minimal intensity that acoustic reflex occurs with ipsilateral and/or contralateral stimulation

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Aerobic Capacity and Endurance

Measures autonomic responses to positional changes; perceived exertion, dyspnea or angina during activity; performance during exercise protocols; standard vital signs; and blood gas analysis or oxygen consumption

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Alternate Binaural or Monaural Loudness Balance

Determines auditory stimulus parameter that yields the same objective sensation

Includes:

• Sound intensities that yield same loudness perception

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Anthropometric Characteristics

Measures edema, body fat composition, height, weight, length and girth

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Aphasia (Assessment)

Measures expressive and receptive speech and language function including reading and writing

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Aphasia (Treatment)

Applying techniques to improve, augment, or compensate for receptive/ expressive language impairments

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Articulation/Phonology (Assessment)

Measures speech production

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Articulation/Phonology (Treatment)

Applying techniques to correct, improve, or compensate for speech productive impairment

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Assistive Listening Device

Assists in use of effective and appropriate assistive listening device/system

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Assistive Listening System/Device Selection

Measures the effectiveness and appropriateness of assistive listening systems/devices

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Assistive, Adaptive, Supportive or Protective Devices

Explanation: Devices to facilitate or support achievement of a higher level of function in wheelchair mobility; bed mobility; transfer or ambulation ability; bath and showering ability; dressing; grooming; personal hygiene; play or leisure

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Auditory Evoked Potentials

Measures electric responses produced by the VIIIth cranial nerve and brainstem following auditory stimulation

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Auditory Processing (Assessment)

Evaluates ability to receive and process auditory information and comprehension of spoken language

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Auditory Processing (Treatment)

Applying techniques to improve the receiving and processing of auditory information and comprehension of spoken language

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Augmentative/Alternative Communication System (Assessment)

Determines the appropriateness of aids, techniques, symbols, and/or strategies to augment or replace speech and enhance communication

Includes:

• Includes the use of telephones, writing equipment, emergency equipment, and TDD

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Augmentative/Alternative Communication System (Treatment)

Includes:

• Includes augmentative communication devices and aids

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Aural Rehabilitation

Applying techniques to improve the communication abilities associated with hearing loss

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Aural Rehabilitation Status

Measures impact of a hearing loss including evaluation of receptive and expressive communication skills

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Bathing/Showering

Includes:

• Includes obtaining and using supplies; soaping, rinsing, and drying body parts; maintaining bathing position; and transferring to and from bathing positions

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Bathing/Showering Techniques

Activities to facilitate obtaining and using supplies, soaping, rinsing and drying body parts, maintaining bathing position, and transferring to and from bathing positions

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Bed Mobility (Assessment)

Transitional movement within bed

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Bed Mobility (Treatment)

Exercise or activities to facilitate transitional movements within bed

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Bedside Swallowing and Oral Function

Includes:

• Bedside swallowing includes assessment of sucking, masticating, coughing, and swallowing. Oral function includes assessment of musculature for controlled movements, structures and functions to determine coordination and phonation

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Bekesy Audiometry

Uses an instrument that provides a choice of discrete or continuously varying pure tones; choice of pulsed or continuous signal

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Binaural Electroacoustic Hearing Aid Check

Determines mechanical and electroacoustic function of bilateral hearing aids using hearing aid test box

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Binaural Hearing Aid (Assessment)

Measures the candidacy, effectiveness, and appropriateness of a hearing aids
Explanation: Measures bilateral fit

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Binaural Hearing Aid (Treatment)

Explanation: Assists in achieving maximum understanding and performance

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Bithermal, Binaural Caloric Irrigation

Measures the rhythmic eye movements stimulated by changing the temperature of the vestibular system

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Bithermal, Monaural Caloric Irrigation

Measures the rhythmic eye movements stimulated by changing the temperature of the vestibular system in one ear

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Brief Tone Stimuli

Measures specific central auditory process

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Cerumen Management

Includes examination of external auditory canal and tympanic membrane and removal of cerumen from external ear canal

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Cochlear Implant

Measures candidacy for cochlear implant

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Cochlear Implant Rehabilitation

Applying techniques to improve the communication abilities of individuals with cochlear implant; includes programming the device, providing patients/families with information

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Communicative/Cognitive Integration Skills (Assessment)

Measures ability to use higher cortical functions

Includes:

• Includes orientation, recognition, attention span, initiation and termination of activity, memory, sequencing, categorizing, concept formation, spatial operations, judgment, problem solving, generalization and pragmatic communication

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Communicative/Cognitive Integration Skills (Treatment)

Activities to facilitate the use of higher cortical functions

Includes:

• Includes level of arousal, orientation, recognition, attention span, initiation and termination of activity, memory sequencing, judgment and problem solving, learning and generalization, and pragmatic communication

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Computerized Dynamic Posturography

Measures the status of the peripheral and central vestibular system and the sensory/motor component of balance; evaluates the efficacy of vestibular rehabilitation

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Conditioned Play Audiometry

Behavioral measures using nonspeech and speech stimuli to obtain frequency-specific and ear-specific information on auditory status from the patient
Explanation: Obtains speech reception threshold by having patient point to pictures of spondaic words

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Coordination/Dexterity (Assessment)

Measures large and small muscle groups for controlled goal- directed movements
Explanation: Dexterity includes object manipulation

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Coordination/Dexterity (Treatment)

Exercise or activities to facilitate gross coordination and fine coordination

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Cranial Nerve Integrity

Measures cranial nerve sensory and motor functions, including tastes, smell and facial expression

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Dichotic Stimuli

Measures specific central auditory process

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Distorted Speech

Measures specific central auditory process

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Dix-Hallpike Dynamic

Measures nystagmus following Dix-Hallpike maneuver

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Dressing

Includes:

• Includes selecting clothing and accessories, obtaining clothing from storage, dressing and, fastening and adjusting clothing and shoes, and applying and removing personal devices, prosthesis or orthosis

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Dressing Techniques

Activities to facilitate selecting clothing and accessories, dressing and undressing, adjusting clothing and shoes, applying and removing devices, prostheses or orthoses

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Dynamic Orthosis

Includes:

• Includes customized and prefabricated splints, inhibitory casts, spinal and other braces, and protective devices; allows motion through transfer of movement from other body parts or by use of outside forces

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Ear Canal Probe Microphone

Real ear measures

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Ear Protector Attentuation

Measures ear protector fit and effectiveness

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Electrocochleography

Measures the VIIIth cranial nerve action potential

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Environmental, Home and Work Barriers

Measures current and potential barriers to optimal function, including safety hazards, access problems and home or office design

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Ergonomics and Body Mechanics

Ergonomic measurement of job tasks, work hardening or work conditioning needs; functional capacity; and body mechanics

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Eustachian Tube Function

Measures eustachian tube function and patency of eustachian tube

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Evoked Otoacoustic Emissions, Diagnostic

Measures auditory evoked potentials in a diagnostic format

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Evoked Otoacoustic Emissions, Screening

Measures auditory evoked potentials in a screening format

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Facial Nerve Function

Measures electrical activity of the VIIth cranial nerve (facial nerve)

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Feeding/Eating (Assessment)

Includes:

• Includes setting up food, selecting and using utensils and tableware, bringing food or drink to mouth, cleaning face, hands, and clothing, and management of alternative methods of nourishment

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Feeding/Eating (Treatment)

Exercise or activities to facilitate setting up food, selecting and using utensils and tableware, bringing food or drink to mouth, cleaning face, hands, and clothing, and management of alternative methods of nourishment

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Filtered Speech

Uses high or low pass filtered speech stimuli to assess central auditory processing disorders, site of lesion testing

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Fluency (Assessment)

Measures speech fluency or stuttering

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Fluency (Treatment)

Applying techniques to improve and augment fluent speech

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Gait and/or Balance

Measures biomechanical, arthrokinematic and other spatial and temporal characteristics of gait and balance

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Gait Training/Functional Ambulation

Exercise or activities to facilitate ambulation on a variety of surfaces and in a variety of environments

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Grooming/Personal Hygiene (Assessment)

Includes:

• Includes ability to obtain and use supplies in a sequential fashion, general grooming, oral hygiene, toilet hygiene, personal care devices, including care for artificial airways

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Grooming/Personal Hygiene (Treatment)

Activities to facilitate obtaining and using supplies in a sequential fashion: general grooming, oral hygiene, toilet hygiene, cleaning body, and personal care devices, including artificial airways

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Hearing and Related Disorders Counseling

Provides patients/families/caregivers with information, support, referrals to facilitate recovery from a communication disorder

Includes:

• Includes strategies for psychosocial adjustment to hearing loss for clients and families/caregivers

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Hearing and Related Disorders Prevention

Provides patients/families/caregivers with information and support to prevent communication disorders

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Hearing Screening

Pass/refer measures designed to identify need for further audiologic assessment

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Home Management (Assessment)

Obtaining and maintaining personal and household possessions and environment

Includes:

• Includes clothing care, cleaning, meal preparation and cleanup, shopping, money management, household maintenance, safety procedures, and childcare/parenting

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Home Management (Treatment)

Activities to facilitate obtaining and maintaining personal household possessions and environment

Includes:

• Includes clothing care, cleaning, meal preparation and clean-up, shopping, money management, household maintenance, safety procedures, childcare/parenting

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Instrumental Swallowing and Oral Function

Measures swallowing function using instrumental diagnostic procedures
Explanation: Methods include videofluoroscopy, ultrasound, manometry, endoscopy

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Integumentary Integrity

Includes:

• Includes burns, skin conditions, ecchymosis, bleeding, blisters, scar tissue, wounds and other traumas, tissue mobility, turgor and texture

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Manual Therapy Techniques

Techniques in which the therapist uses his/her hands to administer skilled movements

Includes:

• Includes connective tissue massage, joint mobilization and manipulation, manual lymph drainage, manual traction, soft tissue mobilization and manipulation

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Masking Patterns

Measures central auditory processing status

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Monaural Electroacoustic Hearing Aid Check

Determines mechanical and electroacoustic function of one hearing aid using hearing aid test box

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Monaural Hearing Aid (Assessment)

Measures the candidacy, effectiveness, and appropriateness of a hearing aid
Explanation: Measures unilateral fit

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Monaural Hearing Aid (Treatment)

Explanation: Assists in achieving maximum understanding and performance

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Motor Function (Assessment)

Measures the body's functional and versatile movement patterns

Includes:

• Includes motor assessment scales, analysis of head, trunk and limb movement, and assessment of motor learning

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Motor Function (Treatment)

Exercise or activities to facilitate crossing midline, laterality, bilateral integration, praxis, neuromuscular relaxation, inhibition, facilitation, motor function and motor learning

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Motor Speech (Assessment)

Measures neurological motor aspects of speech production

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Motor Speech (Treatment)

Applying techniques to improve and augment the impaired neurological motor aspects of speech production

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Muscle Performance (Assessment)

Measures muscle strength, power and endurance using manual testing, dynamometry or computer-assisted electromechanical muscle test; functional muscle strength, power and endurance; muscle pain, tone, or soreness; or pelvic-floor musculature
Explanation: Muscle endurance refers to the ability to contract a muscle repeatedly over time

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Muscle Performance (Treatment)

Exercise or activities to increase the capacity of a muscle to do work in terms of strength, power, and/or endurance
Explanation: Muscle strength is the force exerted to overcome resistance in one maximal effort. Muscle power is work produced per unit of time, or the product of strength and speed. Muscle endurance is the ability to contract a muscle repeatedly over time

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Neuromotor Development

Measures motor development, righting and equilibrium reactions, and reflex and equilibrium reactions

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Non-invasive Instrumental Status

Instrumental measures of oral, nasal, vocal, and velopharyngeal functions as they pertain to speech production

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Nonspoken Language (Assessment)

Measures nonspoken language (print, sign, symbols) for communication

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Nonspoken Language (Treatment)

Applying techniques that improve, augment, or compensate spoken communication

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Oral Peripheral Mechanism

Structural measures of face, jaw, lips, tongue, teeth, hard and soft palate, pharynx as related to speech production

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Orofacial Myofunctional (Assessment)

Measures orofacial myofunctional patterns for speech and related functions

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Orofacial Myofunctional (Treatment)

Applying techniques to improve, alter, or augment impaired orofacial myofunctional patterns and related speech production errors

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Oscillating Tracking

Measures ability to visually track

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Pain

Measures muscle soreness, pain and soreness with joint movement, and pain perception

Includes:

• Includes questionnaires, graphs, symptom magnification scales or visual analog scales

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Perceptual Processing (Assessment)

Measures stereognosis, kinesthesia, body schema, right-left discrimination, form constancy, position in space, visual closure, figure-ground, depth perception, spatial relations and topographical orientation

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Perceptual Processing (Treatment)

Exercise and activities to facilitate perceptual processing
Explanation: Includes stereognosis, kinesthesia, body schema, right-left discrimination, form constancy, position in space, visual closure, figure-ground, depth perception, spatial relations, and topographical orientation

Includes:

• Includes stereognosis, kinesthesia, body schema, right-left discrimination, form constancy, position in space, visual closure, figure-ground, depth perception, spatial relations, and topographical orientation

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Performance Intensity Phonetically Balanced Speech Discrimination

Measures word recognition over varying intensity levels

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Postural Control

Exercise or activities to increase postural alignment and control

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Prosthesis

Artificial substitutes for missing body parts that augment performance or function

Includes:

• Limb prosthesis, ocular prosthesis

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Psychosocial Skills (Assessment)

The ability to interact in society and to process emotions

Includes:

• Includes psychological (values, interests, self-concept); social (role performance, social conduct, interpersonal skills, self expression); self-management (coping skills, time management, self-control)

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Psychosocial Skills (Treatment)

The ability to interact in society and to process emotions

Includes:

• Includes psychological (values, interests, self-concept); social (role performance, social conduct, interpersonal skills, self expression); self-management (coping skills, time management, self-control)

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Pure Tone Audiometry, Air

Air-conduction pure tone threshold measures with appropriate masking

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Pure Tone Audiometry, Air and Bone

Air-conduction and bone-conduction pure tone threshold measures with appropriate masking

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Pure Tone Stenger

Measures unilateral nonorganic hearing loss based on simultaneous presentation of pure tones of differing volume

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Range of Motion and Joint Integrity

Measures quantity, quality, grade, and classification of joint movement and/or mobility
Explanation: Range of Motion is the space, distance or angle through which movement occurs at a joint or series of joints. Joint integrity is the conformance of joints to expected anatomic, biomechanical and kinematic norms

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Range of Motion and Joint Mobility

Exercise or activities to increase muscle length and joint mobility

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Receptive/Expressive Language (Assessment)

Measures receptive and expressive language

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Receptive/Expressive Language (Treatment)

Applying techniques tot improve and augment receptive/expressive language

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Reflex Integrity

Measures the presence, absence, or exaggeration of developmentally appropriate, pathologic or normal reflexes

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Select Picture Audiometry

Establishes hearing threshold levels for speech using pictures

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Sensorineural Acuity Level

Measures sensorineural acuity masking presented via bone conduction

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Sensory Aids

Determines the appropriateness of a sensory prosthetic device, other than a hearing aid or assistive listening system/device

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Sensory Awareness/Processing/Integrity

Includes:

• Includes light touch, pressure, temperature, pain, sharp/dull, proprioception, vestibular, visual, auditory, gustatory, and olfactory

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Short Increment Sensitivity Index

Measures the ear's ability to detect small intensity changes; site of lesion test requiring a behavioral response

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Sinusoidal Vertical Axis Rotational

Measures nystagmus following rotation

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Somatosensory Evoked Potentials

Measures neural activity from sites throughout the body

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Speech and/or Language Screening

Identifies need for further speech and/or language evaluation

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Speech Threshold

Measures minimal intensity needed to repeat spondaic words

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Speech-Language Pathology and Related Disorders Counseling

Provides patients/families with information, support, referrals to facilitate recovery from a communication disorder

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Speech-Language Pathology and Related Disorders Prevention

Applying techniques to avoid or minimize onset and/or development of a communication disorder

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Speech/Word Recognition

Measures ability to repeat/identify single syllable words; scores given as a percentage; includes word recognition/speech discrimination

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Staggered Spondaic Word

Measures central auditory processing site of lesion based upon dichotic presentation of spondaic words

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Static Orthosis

Includes:

• Includes customized and prefabricated splints, inhibitory casts, spinal and other braces, and protective devices; has no moving parts, maintains joint(s) in desired position

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Stenger

Measures unilateral nonorganic hearing loss based on simultaneous presentation of signals of differing volume

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Swallowing Dysfunction

Activities to improve swallowing function in coordination with respiratory function

Includes:

• Includes function and coordination of sucking, mastication, coughing, swallowing

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Synthetic Sentence Identification

Measures central auditory dysfunction using identification of third order approximations of sentences and competing messages

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Temporal Ordering of Stimuli

Measures specific central auditory process

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Therapeutic Exercise

Exercise or activities to facilitate sensory awareness, sensory processing, sensory integration, balance training, conditioning, reconditioning

Includes:

• Includes developmental activities, breathing exercises, aerobic endurance activities, aquatic exercises, stretching and ventilatory muscle training

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Tinnitus Masker (Assessment)

Determines candidacy for tinnitus masker

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Tinnitus Masker (Treatment)

Explanation: Used to verify physical fit, acoustic appropriateness, and benefit; assists in achieving maximum benefit

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Tone Decay

Measures decrease in hearing sensitivity to a tone; site of lesion test requiring a behavioral response

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Transfer

Transitional movement from one surface to another

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Transfer Training

Exercise or activities to facilitate movement from one surface to another

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Tympanometry

Measures the integrity of the middle ear; measures ease at which sound flows through the tympanic membrane while air pressure against the membrane is varied

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Unithermal Binaural Screen

Measures the rhythmic eye movements stimulated by changing the temperature of the vestibular system in both ears using warm water, screening format

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Ventilation, Respiration and Circulation

Measures ventilatory muscle strength, power and endurance, pulmonary function and ventilatory mechanics

Includes:

• Includes ability to clear airway, activities that aggravate or relieve edema, pain, dyspnea or other symptoms, chest wall mobility, cardiopulmonary response to performance of ADL and IAD, cough and sputum, standard vital signs

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Vestibular

Applying techniques to compensate for balance disorders; includes habituation, exercise therapy, and balance retraining

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Visual Motor Integration (Assessment)

Coordinating the interaction of information from the eyes with body movement during activity

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Visual Motor Integration (Treatment)

Exercise or activities to facilitate coordinating the interaction of information from eyes with body movement during activity

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Visual Reinforcement Audiometry

Behavioral measures using nonspeech and speech stimuli to obtain frequency/ear-specific information on auditory status

Includes:

• Includes a conditioned response of looking toward a visual reinforcer (e.g., lights, animated toy) every time auditory stimuli are heard

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Vocational Activities and Functional Community or Work Reintegration Skills (Assessment)

Measures environmental, home, work (job/school/play) barriers that keep patients from functioning optimally in their environment

Includes:

• Includes assessment of vocational skill and interests, environment of work (job/school/play), injury potential and injury prevention or reduction, ergonomic stressors, transportation skills, and ability to access and use community resources

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Vocational Activities and Functional Community or Work Reintegration Skills (Treatment)

Activities to facilitate vocational exploration, body mechanics training, job acquisition, and environmental or work (job/school/play) task adaptation

Includes:

• Includes injury prevention and reduction, ergonomic stressor reduction, job coaching and simulation, work hardening and conditioning, driving training, transportation skills, and use of community resources

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Voice (Assessment)

Measures vocal structure, function and production

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Voice (Treatment)

Applying techniques to improve voice and vocal function

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Voice Prosthetic (Assessment)

Determines the appropriateness of voice prosthetic/adaptive device to enhance or facilitate communication

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Voice Prosthetic (Treatment)

Includes:

• Includes electrolarynx, and other assistive, adaptive, supportive devices

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Wheelchair Mobility (Assessment)

Measures fit and functional abilities within wheelchair in a variety of environments

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Wheelchair Mobility (Treatment)

Management, maintenance and controlled operation of a wheelchair, scooter or other device, in and on a variety of surfaces and environments

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Wound Management

Includes:

• Includes non-selective and selective debridement (enzymes, autolysis, sharp debridement), dressings (wound coverings, hydrogel, vacuum-assisted closure), topical agents, etc.

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