4/9/2024 0 Comments Auditory training aural rehab![]() The results of the component-based risk of bias assessment indicated that the quality of reporting was poor, thus compromising the internal validity of included primary studies. Small-to-medium effect sizes were found in 1 of 2 individual communication training programs, for which outcomes related to QOL, such as emotional functions, activities, participation, and environmental factors were measured. An intervention effect regarding participation was found for a self-administered home training program, but an effect size was unavailable. No effect sizes were found in group interventions measuring outcomes related to QOL, such as mental and emotional functions, environmental factors, participation restrictions, and activity limitations. A component-based risk of bias assessment, as recommended by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was adopted. Of the 145 assessed as full-text articles for eligibility, 8 studies met inclusion criteria. These investigators performed searches in 6 databases, as well as results from hand-searching, gray literature, and cross-referencing of articles, and retrieved 386 articles. Studies with adults presenting with hearing loss, greater than or equal to 50 years of age, with or without hearing aids, receiving interventions such as auditory training, speech-reading, communication strategies training, speech tracking, counseling, or a combination of approaches, and measuring outcomes related to QOL, in an individual or group format, with or without significant others and with no limitations as to year of publication were selected for analysis. They evaluated the effects of aural rehabilitation on quality of life (QOL) in an older adult population presenting with hearing loss. These researchers stated that with prevalence rates of hearing loss being highest in older adults, examining the effects of aural rehabilitation on this population is needed. ![]() Michaud and Duchesne (2017) stated that few systematic reviews have been conducted regarding aural rehabilitation for adults with hearing loss, with none specifically targeting the older adult population. Hearing Loss and Without a Cochlear Implant The rehabilitation program following implantation of a cochlear implant usually consists of 6 to 10 sessions that last approximately 2.5 hours each. The parent or other caregiver is taught to treat the patient normally, to talk to the patient, and interact with him/her as though there were no impairment. The patient is taught to speak, to adjust to a hearing aid or cochlear implant, and to look to a speaker's mouth and face to better comprehend what is being said. ICD-10 codes not covered for indications listed in the CPB:Īn aural rehabilitation program generally starts as soon as a patient is identified as having a hearing impairment, or after placement of a cochlear implant. ![]() ![]() Other disorders of ear, not elsewhere classified ICD-10 codes covered if selection criteria are met:Ĭonductive and sensorineural hearing loss Table: CPT Codes / HCPCS Codes / ICD-10 Codes CodeĬPT codes covered if selection criteria are met:Īuditory verbal therapy -no specific codeĮvaluation of auditory rehabilitation status first hourĪuditory rehabilitation pre-lingual hearing lossĬochlear device implantation, with or without mastoidectomy CPB 0013 - Cochlear Implants and Auditory Brainstem Implants.This Clinical Policy Bulletin addresses aural rehabilitation.Īetna considers aural rehabilitation (including auditory verbal therapy ) medically necessary as speech therapy for members with hearing impairments and after placement of a cochlear implant.Īetna considers aural rehabilitation not medically necessary for cochlear implant users who have reached a plateau in performance.Īetna considers aural rehabilitation experimental and investigation for individuals with hearing loss and without a cochlear implant and for the treatment of tinnitus because of insufficient evidence of this approach. Number: 0034 Table Of Contents Policy Applicable CPT / HCPCS / ICD-10 Codes Background References ![]()
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