ICD-10 Code
International Classification of Diseases, 10th Revision
Jan 23, 2017

Procedure Terms used in “Physical Rehabilitation and Diagnostic Audiology”

Physical rehabilitation section codes represent procedures including physical therapy, occupational therapy and speech-language pathology. Osteopathic procedures and chiropractic procedures are in sections 7 and 9 respectively. Physical rehabilitation and diagnostic audiology procedure codes have a first character value of “F”. The second character specifies the section qualifier Rehabilitation or Diagnostic Audiology. The third character specifies the root type.

There are 14 different root type values, which can be classified into four basic categories of rehabilitation and diagnostic audiology procedures, defined as follows:

  • Treatment: Use of specific activities or methods to develop, improve and/or restore the performance of necessary functions, compensate for dysfunction and/or minimize debilitation
  • Assessment: Includes a determination of the patient’s diagnosis when appropriate, need for treatment, planning for treatment, periodic assessment and documentation related to these activities
  • Fitting(s): Design, fabrication, modification, selection and/or application of splint, orthosis, prosthesis, hearing aids and/or other rehabilitation device
  • Caregiver Training: Educating caregiver with the skills and knowledge used to interact with and assist the patient

The root type Treatment includes training as well as activities which restore function. The fourth character specifies the body region and/or system on which the procedure is performed. The fifth character is a type qualifier that further specifies the procedure performed. Examples include therapy to improve the range of motion and training for bathing techniques. The sixth character specifies the equipment used. Specific equipment is not defined in the equipment value. Instead, broad categories of equipment are specified (e.g., aerobic endurance and conditioning, assistive/ adaptive/supportive, etc.) The seventh character is not specified in the rehabilitation and diagnostic audiology section, and always has the value None.


Terms for Physical Rehabilitation and Diagnostic Audiology

Acoustic Reflex Decay
When used as Type Qualifier
Measures reduction in size/strength of acoustic reflex over time
Acoustic Reflex Patterns
When used as Type Qualifier
Defines site of lesion based upon presence/absence of acoustic reflexes with ipsilateral vs. contralateral stimulation
Acoustic Reflex Threshold
When used as Type Qualifier
Determines minimal intensity that acoustic reflex occurs with ipsilateral and/or contralateral stimulation
Activities of Daily Living Assessment
Measurement of functional level for activities of daily living
Activities of Daily Living Treatment
Exercise or activities to facilitate functional competence for activities of daily living
Aerobic Capacity and Endurance
When used as Type Qualifier
Measures autonomic responses to positional changes; perceived exertion, dyspnea or angina during activity; performance during exercise protocols; standard vital signs; and blood gas analysis or oxygen consumption
Alternate Binaural or Monaural Loudness Balance
When used as Type Qualifier
Determines auditory stimulus parameter that yields the same objective sensation
Anthropometric Characteristics
When used as Type Qualifier
Measures edema, body fat composition, height, weight, length and girth
Aphasia (Assessment)
When used as Type Qualifier
Measures expressive and receptive speech and language function including reading and writing
Aphasia (Treatment)
When used as Type Qualifier
Applying techniques to improve, augment, or compensate for receptive/ expressive language impairments
Articulation/Phonology (Assessment)
When used as Type Qualifier
Measures speech production
Articulation/Phonology (Treatment)
When used as Type Qualifier
Applying techniques to correct, improve, or compensate for speech productive impairment
Assistive Listening Device
When used as Type Qualifier
Assists in use of effective and appropriate assistive listening device/system
Assistive Listening System/Device Selection
When used as Type Qualifier
Measures the effectiveness and appropriateness of assistive listening systems/devices
Auditory Evoked Potentials
When used as Type Qualifier
Measures electric responses produced by the VIIIth cranial nerve and brainstem following auditory stimulation
Auditory Processing (Assessment)
When used as Type Qualifier
Evaluates ability to receive and process auditory information and comprehension of spoken language
Auditory Processing (Treatment)
When used as Type Qualifier
Applying techniques to improve the receiving and processing of auditory information and comprehension of spoken language
Augmentative/Alternative Communication System (Assessment)
When used as Type Qualifier
Determines the appropriateness of aids, techniques, symbols, and/or strategies to augment or replace speech and enhance communication
Aural Rehabilitation
When used as Type Qualifier
Applying techniques to improve the communication abilities associated with hearing loss
Aural Rehabilitation Status
When used as Type Qualifier
Measures impact of a hearing loss including evaluation of receptive and expressive communication skills
Bathing/Showering Techniques
When used as Type Qualifier
Activities to facilitate obtaining and using supplies, soaping, rinsing and drying body parts, maintaining bathing position, and transferring to and from bathing positions
Bed Mobility (Assessment)
When used as Type Qualifier
Transitional movement within bed
Bed Mobility (Treatment)
When used as Type Qualifier
Exercise or activities to facilitate transitional movements within bed
Bekesy Audiometry
When used as Type Qualifier
Uses an instrument that provides a choice of discrete or continuously varying pure tones; choice of pulsed or continuous signal
Binaural Electroacoustic Hearing Aid Check
When used as Type Qualifier
Determines mechanical and electroacoustic function of bilateral hearing aids using hearing aid test box
Binaural Hearing Aid (Assessment)
When used as Type Qualifier
Measures the candidacy, effectiveness, and appropriateness of a hearing aids

Measures bilateral fit

Bithermal, Binaural Caloric Irrigation
When used as Type Qualifier
Measures the rhythmic eye movements stimulated by changing the temperature of the vestibular system
Bithermal, Monaural Caloric Irrigation
When used as Type Qualifier
Measures the rhythmic eye movements stimulated by changing the temperature of the vestibular system in one ear
Brief Tone Stimuli
When used as Type Qualifier
Measures specific central auditory process
Caregiver Training
Training in activities to support patient's optimal level of function
Cerumen Management
When used as Type Qualifier
Includes examination of external auditory canal and tympanic membrane and removal of cerumen from external ear canal
Cochlear Implant
When used as Type Qualifier
Measures candidacy for cochlear implant
Cochlear Implant Rehabilitation
When used as Type Qualifier
Applying techniques to improve the communication abilities of individuals with cochlear implant; includes programming the device, providing patients/families with information
Cochlear Implant Treatment
Application of techniques to improve the communication abilities of individuals with cochlear implant
Communicative/Cognitive Integration Skills (Assessment)
When used as Type Qualifier
Measures ability to use higher cortical functions
Communicative/Cognitive Integration Skills (Treatment)
When used as Type Qualifier
Activities to facilitate the use of higher cortical functions
Computerized Dynamic Posturography
When used as Type Qualifier
Measures the status of the peripheral and central vestibular system and the sensory/motor component of balance; evaluates the efficacy of vestibular rehabilitation
Conditioned Play Audiometry
When used as Type Qualifier
Behavioral measures using nonspeech and speech stimuli to obtain frequency-specific and ear-specific information on auditory status from the patient

Obtains speech reception threshold by having patient point to pictures of spondaic words

Coordination/Dexterity (Assessment)
When used as Type Qualifier
Measures large and small muscle groups for controlled goal- directed movements

Dexterity includes object manipulation

Coordination/Dexterity (Treatment)
When used as Type Qualifier
Exercise or activities to facilitate gross coordination and fine coordination
Cranial Nerve Integrity
When used as Type Qualifier
Measures cranial nerve sensory and motor functions, including tastes, smell and facial expression
Device Fitting
Fitting of a device designed to facilitate or support achievement of a higher level of function
Dichotic Stimuli
When used as Type Qualifier
Measures specific central auditory process
Distorted Speech
When used as Type Qualifier
Measures specific central auditory process
Dix-Hallpike Dynamic
When used as Type Qualifier
Measures nystagmus following Dix-Hallpike maneuver
Dressing Techniques
When used as Type Qualifier
Activities to facilitate selecting clothing and accessories, dressing and undressing, adjusting clothing and shoes, applying and removing devices, prostheses or orthoses
Ear Canal Probe Microphone
When used as Type Qualifier
Real ear measures
Ear Protector Attentuation
When used as Type Qualifier
Measures ear protector fit and effectiveness
Electrocochleography
When used as Type Qualifier
Measures the VIIIth cranial nerve action potential
Environmental, Home and Work Barriers
When used as Type Qualifier
Measures current and potential barriers to optimal function, including safety hazards, access problems and home or office design
Ergonomics and Body Mechanics
When used as Type Qualifier
Ergonomic measurement of job tasks, work hardening or work conditioning needs; functional capacity; and body mechanics
Eustachian Tube Function
When used as Type Qualifier
Measures eustachian tube function and patency of eustachian tube
Evoked Otoacoustic Emissions, Diagnostic
When used as Type Qualifier
Measures auditory evoked potentials in a diagnostic format
Evoked Otoacoustic Emissions, Screening
When used as Type Qualifier
Measures auditory evoked potentials in a screening format
Facial Nerve Function
When used as Type Qualifier
Measures electrical activity of the VIIth cranial nerve (facial nerve)
Feeding/Eating (Treatment)
When used as Type Qualifier
Exercise or activities to facilitate setting up food, selecting and using utensils and tableware, bringing food or drink to mouth, cleaning face, hands, and clothing, and management of alternative methods of nourishment
Filtered Speech
When used as Type Qualifier
Uses high or low pass filtered speech stimuli to assess central auditory processing disorders, site of lesion testing
Fluency (Assessment)
When used as Type Qualifier
Measures speech fluency or stuttering
Fluency (Treatment)
When used as Type Qualifier
Applying techniques to improve and augment fluent speech
Gait and/or Balance
When used as Type Qualifier
Measures biomechanical, arthrokinematic and other spatial and temporal characteristics of gait and balance
Gait Training/Functional Ambulation
When used as Type Qualifier
Exercise or activities to facilitate ambulation on a variety of surfaces and in a variety of environments
Grooming/Personal Hygiene (Treatment)
When used as Type Qualifier
Activities to facilitate obtaining and using supplies in a sequential fashion: general grooming, oral hygiene, toilet hygiene, cleaning body, and personal care devices, including artificial airways
Hearing Aid Assessment
Measurement of the appropriateness and/or effectiveness of a hearing device
Hearing and Related Disorders Counseling
When used as Type Qualifier
Provides patients/families/caregivers with information, support, referrals to facilitate recovery from a communication disorder
Hearing and Related Disorders Prevention
When used as Type Qualifier
Provides patients/families/caregivers with information and support to prevent communication disorders
Hearing Assessment
Measurement of hearing and related functions
Hearing Screening
When used as Type Qualifier
Pass/refer measures designed to identify need for further audiologic assessment
Hearing Treatment
Application of techniques to improve, augment, or compensate for hearing and related functional impairment
Home Management (Assessment)
When used as Type Qualifier
Obtaining and maintaining personal and household possessions and environment
Home Management (Treatment)
When used as Type Qualifier
Activities to facilitate obtaining and maintaining personal household possessions and environment
Instrumental Swallowing and Oral Function
When used as Type Qualifier
Measures swallowing function using instrumental diagnostic procedures

Methods include videofluoroscopy, ultrasound, manometry, endoscopy

Manual Therapy Techniques
When used as Type Qualifier
Techniques in which the therapist uses his/her hands to administer skilled movements
Masking Patterns
When used as Type Qualifier
Measures central auditory processing status
Monaural Electroacoustic Hearing Aid Check
When used as Type Qualifier
Determines mechanical and electroacoustic function of one hearing aid using hearing aid test box
Monaural Hearing Aid (Assessment)
When used as Type Qualifier
Measures the candidacy, effectiveness, and appropriateness of a hearing aid

Measures unilateral fit

Motor and/or Nerve Function Assessment
Measurement of motor, nerve, and related functions
Motor Function (Assessment)
When used as Type Qualifier
Measures the body's functional and versatile movement patterns
Motor Function (Treatment)
When used as Type Qualifier
Exercise or activities to facilitate crossing midline, laterality, bilateral integration, praxis, neuromuscular relaxation, inhibition, facilitation, motor function and motor learning
Motor Speech (Assessment)
When used as Type Qualifier
Measures neurological motor aspects of speech production
Motor Speech (Treatment)
When used as Type Qualifier
Applying techniques to improve and augment the impaired neurological motor aspects of speech production
Motor Treatment
Exercise or activities to increase or facilitate motor function
Muscle Performance (Assessment)
When used as Type Qualifier
Measures muscle strength, power and endurance using manual testing, dynamometry or computer-assisted electromechanical muscle test; functional muscle strength, power and endurance; muscle pain, tone, or soreness; or pelvic-floor musculature

Muscle endurance refers to the ability to contract a muscle repeatedly over time

Muscle Performance (Treatment)
When used as Type Qualifier
Exercise or activities to increase the capacity of a muscle to do work in terms of strength, power, and/or endurance

Muscle strength is the force exerted to overcome resistance in one maximal effort. Muscle power is work produced per unit of time, or the product of strength and speed. Muscle endurance is the ability to contract a muscle repeatedly over time

Neuromotor Development
When used as Type Qualifier
Measures motor development, righting and equilibrium reactions, and reflex and equilibrium reactions
Neurophysiologic Intraoperative
When used as Type Qualifier
Monitors neural status during surgery
Non-invasive Instrumental Status
When used as Type Qualifier
Instrumental measures of oral, nasal, vocal, and velopharyngeal functions as they pertain to speech production
Nonspoken Language (Assessment)
When used as Type Qualifier
Measures nonspoken language (print, sign, symbols) for communication
Nonspoken Language (Treatment)
When used as Type Qualifier
Applying techniques that improve, augment, or compensate spoken communication
Oral Peripheral Mechanism
When used as Type Qualifier
Structural measures of face, jaw, lips, tongue, teeth, hard and soft palate, pharynx as related to speech production
Orofacial Myofunctional (Assessment)
When used as Type Qualifier
Measures orofacial myofunctional patterns for speech and related functions
Orofacial Myofunctional (Treatment)
When used as Type Qualifier
Applying techniques to improve, alter, or augment impaired orofacial myofunctional patterns and related speech production errors
Oscillating Tracking
When used as Type Qualifier
Measures ability to visually track
Pain
When used as Type Qualifier
Measures muscle soreness, pain and soreness with joint movement, and pain perception
Perceptual Processing (Assessment)
When used as Type Qualifier
Measures stereognosis, kinesthesia, body schema, right-left discrimination, form constancy, position in space, visual closure, figure-ground, depth perception, spatial relations and topographical orientation
Perceptual Processing (Treatment)
When used as Type Qualifier
Exercise and activities to facilitate perceptual processing

Includes stereognosis, kinesthesia, body schema, right-left discrimination, form constancy, position in space, visual closure, figure-ground, depth perception, spatial relations, and topographical orientation

Performance Intensity Phonetically Balanced Speech Discrimination
When used as Type Qualifier
Measures word recognition over varying intensity levels
Postural Control
When used as Type Qualifier
Exercise or activities to increase postural alignment and control
Psychosocial Skills (Assessment)
When used as Type Qualifier
The ability to interact in society and to process emotions
Psychosocial Skills (Treatment)
When used as Type Qualifier
The ability to interact in society and to process emotions
Pure Tone Audiometry, Air
When used as Type Qualifier
Air-conduction pure tone threshold measures with appropriate masking
Pure Tone Audiometry, Air and Bone
When used as Type Qualifier
Air-conduction and bone-conduction pure tone threshold measures with appropriate masking
Pure Tone Stenger
When used as Type Qualifier
Measures unilateral nonorganic hearing loss based on simultaneous presentation of pure tones of differing volume
Range of Motion and Joint Integrity
When used as Type Qualifier
Measures quantity, quality, grade, and classification of joint movement and/or mobility

Range of Motion is the space, distance or angle through which movement occurs at a joint or series of joints. Joint integrity is the conformance of joints to expected anatomic, biomechanical and kinematic norms

Range of Motion and Joint Mobility
When used as Type Qualifier
Exercise or activities to increase muscle length and joint mobility
Receptive/Expressive Language (Assessment)
When used as Type Qualifier
Measures receptive and expressive language
Receptive/Expressive Language (Treatment)
When used as Type Qualifier
Applying techniques tot improve and augment receptive/expressive language
Reflex Integrity
When used as Type Qualifier
Measures the presence, absence, or exaggeration of developmentally appropriate, pathologic or normal reflexes
Select Picture Audiometry
When used as Type Qualifier
Establishes hearing threshold levels for speech using pictures
Sensorineural Acuity Level
When used as Type Qualifier
Measures sensorineural acuity masking presented via bone conduction
Sensory Aids
When used as Type Qualifier
Determines the appropriateness of a sensory prosthetic device, other than a hearing aid or assistive listening system/device
Short Increment Sensitivity Index
When used as Type Qualifier
Measures the ear's ability to detect small intensity changes; site of lesion test requiring a behavioral response
Sinusoidal Vertical Axis Rotational
When used as Type Qualifier
Measures nystagmus following rotation
Somatosensory Evoked Potentials
When used as Type Qualifier
Measures neural activity from sites throughout the body
Speech and/or Language Screening
When used as Type Qualifier
Identifies need for further speech and/or language evaluation
Speech Assessment
Measurement of speech and related functions
Speech Threshold
When used as Type Qualifier
Measures minimal intensity needed to repeat spondaic words
Speech Treatment
Application of techniques to improve, augment, or compensate for speech and related functional impairment
Speech-Language Pathology and Related Disorders Counseling
When used as Type Qualifier
Provides patients/families with information, support, referrals to facilitate recovery from a communication disorder
Speech-Language Pathology and Related Disorders Prevention
When used as Type Qualifier
Applying techniques to avoid or minimize onset and/or development of a communication disorder
Speech/Word Recognition
When used as Type Qualifier
Measures ability to repeat/identify single syllable words; scores given as a percentage; includes word recognition/speech discrimination
Staggered Spondaic Word
When used as Type Qualifier
Measures central auditory processing site of lesion based upon dichotic presentation of spondaic words
Stenger
When used as Type Qualifier
Measures unilateral nonorganic hearing loss based on simultaneous presentation of signals of differing volume
Swallowing Dysfunction
When used as Type Qualifier
Activities to improve swallowing function in coordination with respiratory function
Synthetic Sentence Identification
When used as Type Qualifier
Measures central auditory dysfunction using identification of third order approximations of sentences and competing messages
Temporal Ordering of Stimuli
When used as Type Qualifier
Measures specific central auditory process
Therapeutic Exercise
When used as Type Qualifier
Exercise or activities to facilitate sensory awareness, sensory processing, sensory integration, balance training, conditioning, reconditioning
Tinnitus Masker (Assessment)
When used as Type Qualifier
Determines candidacy for tinnitus masker
Tone Decay
When used as Type Qualifier
Measures decrease in hearing sensitivity to a tone; site of lesion test requiring a behavioral response
Transfer
When used as Type Qualifier
Transitional movement from one surface to another
Transfer Training
When used as Type Qualifier
Exercise or activities to facilitate movement from one surface to another
Tympanometry
When used as Type Qualifier
Measures the integrity of the middle ear; measures ease at which sound flows through the tympanic membrane while air pressure against the membrane is varied
Unithermal Binaural Screen
When used as Type Qualifier
Measures the rhythmic eye movements stimulated by changing the temperature of the vestibular system in both ears using warm water, screening format
Ventilation, Respiration and Circulation
When used as Type Qualifier
Measures ventilatory muscle strength, power and endurance, pulmonary function and ventilatory mechanics
Vestibular
When used as Type Qualifier
Applying techniques to compensate for balance disorders; includes habituation, exercise therapy, and balance retraining
Vestibular Assessment
Measurement of the vestibular system and related functions
Vestibular Treatment
Application of techniques to improve, augment, or compensate for vestibular and related functional impairment
Visual Motor Integration (Assessment)
When used as Type Qualifier
Coordinating the interaction of information from the eyes with body movement during activity
Visual Motor Integration (Treatment)
When used as Type Qualifier
Exercise or activities to facilitate coordinating the interaction of information from eyes with body movement during activity
Visual Reinforcement Audiometry
When used as Type Qualifier
Behavioral measures using nonspeech and speech stimuli to obtain frequency/ear-specific information on auditory status
Vocational Activities and Functional Community or Work Reintegration Skills (Assessment)
When used as Type Qualifier
Measures environmental, home, work (job/school/play) barriers that keep patients from functioning optimally in their environment
Vocational Activities and Functional Community or Work Reintegration Skills (Treatment)
When used as Type Qualifier
Activities to facilitate vocational exploration, body mechanics training, job acquisition, and environmental or work (job/school/play) task adaptation
Voice (Assessment)
When used as Type Qualifier
Measures vocal structure, function and production
Voice (Treatment)
When used as Type Qualifier
Applying techniques to improve voice and vocal function
Voice Prosthetic (Assessment)
When used as Type Qualifier
Determines the appropriateness of voice prosthetic/adaptive device to enhance or facilitate communication
Wheelchair Mobility (Assessment)
When used as Type Qualifier
Measures fit and functional abilities within wheelchair in a variety of environments
Wheelchair Mobility (Treatment)
When used as Type Qualifier
Management, maintenance and controlled operation of a wheelchair, scooter or other device, in and on a variety of surfaces and environments
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When ICD 10 was implemented on October 1, 2015, it did not affect physicians', outpatient facilities', and hospital outpatient departments' use of CPT codes on Medicare Fee-For-Service claims. Providers should continue to use CPT codes to report these services.