![]() Codes requiring a 7th character are represented by "+":ĬPT codes not covered for indications listed in the CPB: Information in the below has been added for clarification purposes. ![]() Table: CPT Codes / HCPCS Codes / ICD-10 Codes Code CPB 0256 - Sensory and Auditory Integration Therapy.This Clinical Policy Bulletin addresses auditory processing disorder (APD).Īetna considers any diagnostic tests or treatments for the management of auditory processing disorder (APD) (previously known as central auditory processing disorder (CAPD)) experimental and investigational because there is insufficient scientific evidence to support the validity of any diagnostic tests and the effectiveness of any treatment for APD. Follow-on treatment may consist of FM listening systems auditory skill building exercises to help you cope at home, in social settings and the workplace.Number: 0668 Table Of Contents Policy Applicable CPT / HCPCS / ICD-10 Codes Background References If you are an adult experiencing symptoms of APD, the first step is to consult an audiologist or speech pathologist for a formal assessment. Noticeable delay in responding to conversational questions.Exhibiting a blank stare when spoken to appearing distracted or unfocused.Difficulty learning a foreign language or technical information where language is novel or unfamiliar.Difficulty with rapid or accented speech.Trouble following a conversation on the phone.Problems with the ability to localize the source of a sound.Difficulty multitasking in auditory situations (e.g., listening and taking notes). ![]() Trouble following multi-step or complex directions.In adults, APD can manifest in a number of ways including: The main difference between ADHD and APD is that people with APD will show signficiantly more difficulties with tasks involving sound. While both conditions can cause sensory processing challenges, these can originate in different parts of the brain. While they share some symptoms and APD is often a comorbidity of ADHD, scientist have not identified a genetic or other causal linkage between the two conditions. Opinion is currently divided on whether there is a direct linkage between APD and ADHD. In children and adults, it can be misdiagnosed as ADHD because it is easily confused with lack of attention. Auditory cohesion difficulty – This means problems processing when undertaking higher-level listening tasks (e.g., difficulty making inferences from conversation or picking up on tone and inflection)Ī standard hearing test won’t typically pick up APD since it is not a condition of hearing loss.Auditory figure ground – Discerning and processing a single audio input amid competing stimuli like background noise.Auditory sequencing – Recalling words and directions in the correct order.Auditory memory – Remembering what was heard.Auditory discrimination – This refers to noticing and differentiating similar but unique sounds.APD interferes with that process so messages may be garbled or not processed in a normal time frame.īelow are some of the issues it can cause with the whole hearing process: The ear separates a meaningful message from non-essential background sound and deliver that information with good clarity to the brain where it is processed at an acceptable speed. However, it affects the hearing system beyond the ear. Though it is typically first discovered in childhood, it can continue throughout a person’s life.ĪPD is often confused with hearing loss. Auditory Processing Disorder (APD) is caused by an abnormality in the central auditory nervous system that affects an individual’s ability to understand and remember information presented verbally.
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