When a speech language pathologist (SLP) sees a patient that has both speech and swallowing issues, and the SLP performs both a Swallow Function Evaluation (92610) and a Speech and Hearing Evaluation (92506) during the same visit, are any of those minutes to be counted on the MDS?

Q: When a speech language pathologist (SLP) sees a patient that has both speech and swallowing issues, and the SLP performs both a Swallow Function Evaluation (92610) and a Speech and Hearing Evaluation (92506) during the same visit, are any of those minutes (other than treatment minutes) to be counted on the MDS? Should the SLP plan to do the different evaluation on different days?

A: Only the treatment minutes can be counted in this situation. Reevaulation minutes can be counted as always, just not the initial evaluation of the problems.

2 Comments

  1. beth

    if the speech eval is done first and swallow eval at a later date…is the swallow eval considered a “re-eval” and therefore coded as treatment minutes?

  2. Molly

    I have the same question as Beth. If the evaluations are conducted on different days does the second one count toward treatment minutes or is it considered a evaluation of a new set of problems vs. a reevaluation.

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