2025 HCPCS code V5362
(Active) Effective Date: N/A Revision Date: N/A Hearing Services - Speech-related Screenings and Communication Device Repair Vision, Hearing and Speech Services Feed
Speech screening assessment to determine if further evaluation is needed.
Modifiers may apply depending on the circumstances of service; consult the HCPCS modifier guidelines for details.
Medical necessity may be established based on a patient's symptoms, developmental history, or in response to a referral from another healthcare provider. The screening is often required to assess a child’s developmental milestones or to evaluate an adult’s sudden onset of speech difficulties following trauma or other medical events.
Speech-Language Pathologist or other qualified healthcare professional.
In simple words: This code is for a quick check of a child or adult's speech to see if there are any problems.The test looks at how well they speak, the sound of their voice, and if they have trouble saying certain words. It tells if they need more tests, but doesn't say how bad any problem is.
This HCPCS code, V5362, represents a speech screening assessment performed to evaluate a patient's speech difficulties and determine the necessity for more comprehensive evaluations.The screening assesses fluency, voice quality, and articulation, comparing the patient's speech development to expected developmental norms.This test identifies the presence of a speech problem but does not quantify the extent of the impairment. Further testing may be required to determine the degree of impairment.This service may often be performed concurrently with a language screening (V5363).
Example 1: A pediatrician screens a 4-year-old child who has difficulty pronouncing certain consonants during a well-child visit. The screening reveals potential speech articulation challenges, leading to a referral to a speech-language pathologist for a comprehensive evaluation., A teacher notices a student consistently speaking softly and struggling with fluency. A speech screening is conducted to identify potential speech impediments. This test may warrant further assessments to determine whether the child requires speech therapy intervention., A patient presents with a recent head injury exhibiting slurred speech. An emergency department physician orders a speech screening to quickly determine the severity of the speech disorder and if additional interventions are necessary before advanced diagnostics are conducted.
* Patient's demographic information.* Detailed history of speech development.* Results of speech screening tests.* Physician's interpretation and referral recommendations.* Documentation of the medical necessity for the screening and referral, if applicable.
** This code is for screening only; additional codes might be necessary for further evaluations or therapy.
- Payment Status: Active
- Specialties:Pediatrics, Otolaryngology, Speech-Language Pathology, Neurology
- Place of Service:Office, Hospital, School, Other