© Copyright 2026 American Medical Association. All rights reserved.
Speech-generating devices (SGD), also known as voice-output communication aids (VOCA), are specialized electronic tools designed to assist individuals with communication impairments by producing synthetic or digital speech. These devices are crucial for patients who have difficulty expressing themselves verbally due to various conditions, such as neurological disorders, developmental disabilities, or other speech-related challenges. The evaluation process for prescribing an SGD involves a comprehensive face-to-face assessment conducted by a speech-language pathologist (SLP). During this evaluation, the SLP examines the patient's cognitive and communication abilities to determine the nature and extent of the communication impairment. This assessment includes a thorough review of the patient's current language skills and cognitive capabilities, which are essential for selecting the most appropriate SGD. The SLP will also identify any necessary accessories that may enhance the functionality of the device to better meet the patient's specific needs. For billing purposes, the CPT® code 92607 is used to report the first hour of the evaluation, while CPT® code 92608 is designated for each additional 30 minutes of evaluation time, allowing for a structured approach to documenting the services provided.
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