ICD Code R47.01

ICD code R47.01 is a medical classification used to denote aphasia, which is a condition characterized by the loss or impairment of the ability to communicate effectively. This can involve difficulties with speaking, understanding speech, reading, or writing, often resulting from brain damage due to stroke, head injury, or other neurological conditions.

1. Sudden Onset of Language Impairment: The individual experiences a sudden difficulty in speaking, understanding, reading, or writing, which may occur after a stroke or head injury.

2. Difficulty in Word Retrieval: The person struggles to find the right words during conversation, often substituting incorrect words or using nonsensical language.

3. Impaired Comprehension: There is a noticeable difficulty in understanding spoken or written language, which may affect the ability to follow conversations or instructions.

4. Fluent but Meaningless Speech: The individual may speak in long sentences that lack meaning or coherence, often with incorrect grammar or invented words.

5. Repetition Challenges: Difficulty in repeating words or phrases, even when the person can hear and understand them.

6. Reading and Writing Difficulties: The person may have trouble reading aloud, understanding written text, or writing coherent sentences.

7. Neurological Assessment: A healthcare provider has conducted a neurological examination and identified language deficits consistent with the condition.

8. Exclusion of Other Causes: Other potential causes of language impairment, such as hearing loss, intellectual disability, or psychiatric disorders, have been ruled out.

9. Imaging Studies: Brain imaging, such as an MRI or CT scan, may show areas of damage or dysfunction in language-related regions of the brain.

10. Speech and Language Evaluation: A comprehensive assessment by a speech-language pathologist confirms the presence of language deficits consistent with the condition.

For the ICD code R47.01 (Aphasia), the relevant CPT codes that may be applicable include:

1. 92506 - Evaluation of speech, language, voice, communication, and/or auditory processing.

2. 92507 - Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual.

3. 92508 - Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, two or more individuals.

4. 96105 - Assessment of aphasia with interpretation and report, per hour.

5. 96125 - Standardized cognitive performance testing (e.g., Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report.

These CPT codes are typically used by healthcare providers to document and bill for services related to the evaluation and treatment of aphasia. It's important for providers to ensure that the services they provide align with the descriptions of these codes to ensure accurate billing and reimbursement.

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