Commonly Used Diagnostic Codes For SPD / SID Insurance Reimbursement
The first section of this information is available in the SENSORY INTEGRATION - SPECIAL INTEREST SECTION QUARTERLY Volume 22, number 1 March, 1999. Published by the American Occupational Therapy Association, Inc.
ICD-9 Diagnostic Codes: 299.0 Autism 299.8 Pervasive Developmental Disorder/Asperger's Syndrome 314.0 Attention Deficit Disorder 314.01 Attention Deficit Disorder with Hyperactivity 315.4 Developmental Coordination Disorder 315.8 Delay in Development (specified) 315.9 Delay in Development (unspecified) 343.9 Cerebral Palsy 759.83 Fragile X Syndrome 781.3 Lack of Coordination 784.69 Motor Apraxis 742.9 Unspecified Anomaly of the Brain, Spinal Cord and Nervous System 349.9 Unspecified Disorders of the Nervous System 782.0 Disturbance of Skin Sensation 781.0 Tremors Nervous system 348.3 Encephalopathy 382.9 Otitis Media
97110 Therapeutic Exercises (procedures) 97112 Neuromuscular Re-Education 97530 Therapeutic Exercises (activities) 97770 Self-Care/Home Management
In a sample Private OT, these are the evaluation and treatment codes most frequently used... Evaluation Codes: 96110 OT Eval- developmental assessment interpretation, report 96111 OT Eval- extended standardized developmental instruments 96115 Neurobehavioral status exam with interpretation report 96117 Neuropsychological testing with interpretation report 97003 Medicaid/CMS Evaluation
97110 Therapeutic Procedure - develop strength/endurance. ROM/flex 97112 Neuro-muscular Re-Education - balance, coordination, proprioception 97250 Myofascial Release/Mobilization - hand, wrist 97265 Joint Mobilization - hand, wrist 97504 Orthotics Fitting - upper/lower extremity
(Submitted By Michelle Morris 2006. Reprinted With Permission.)
Michelle Morris is the mother of six, and parent of a child with a Sensory Processing Disorder. She is whole heartedly dedicated to promoting awareness and advocacy for families with SPD children. She has published over 30 articles supporting and educating parents about SPD. Additionally, Michelle is the International Administrator of SPD Parent S.H.A.R.E. and owner of the Yahoo support group SID-DSI_AllAboutKids. Related Resources The Sensory Processing Disorder Store
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