Download Pediatric Appointment Description

PEDIATRIC
DESCRIPTION OF APPOINTMENTS
INITIAL CONSULT
TIME: ~ 90 minutes
Includes meeting with a team audiologist to discuss hearing loss, cochlear implant
candidacy, the process for implantation, benefits of implantation and to review currently
available cochlear implant devices and technology. Audiologic, medical and educational
records will also be reviewed. Please come prepared to this appointment with a list of
questions and concerns based on information we have provided or that you have
learned elsewhere. The case history and insurance forms should also be returned
at this time. Hearing aids must be worn to this appointment.
Note: If appropriate hearing aids are not worn, earmolds will be taken at this
appointment ($55.00/each payable at time of service) to begin a mandatory hearing aid
trial.
HEARING AID FITTING (if appropriate)
TIME: ~ 60-90 minutes
The FDA requires that a cochlear implant candidate must be appropriately fit with
amplification for both ears prior to implantation to demonstrate benefit from hearing
aids. Loaner hearing aids may be provided by The Listening Center at $25.00 each for a
period of 2 months.
AUDITORY BRAINSTEM RESPONSE (ABR) and/or OTOACOUSTIC EMISSIONS
TESTING (OAE)
These objective measures of hearing sensitivity may require sedation. This appointment
takes approximately 120 minutes. Note: Testing may not be necessary if complete test
results are available from a previous assessment.
AUDIOLOGICAL ASSESSMENT
TIME: ~60-180 minutes
Includes a complete hearing assessment with and without hearing aids. Speech
perception tests will be performed to determine speech understanding with optimally fit
hearing aids. Depending on the age of the child, it may take several appointments to
complete testing.
Note: Preimplant training may be recommended at this time.
CT SCAN
TIME: Varies
A special x-ray of the inner ear will be obtained to evaluate the anatomy of the cochlea.
The CT scan can be done locally or at Johns Hopkins pending insurance requirements.
The patient/parent is responsible for bringing these films to the otologic consult
(appointment with the doctor).
OTOLOGIC CONSULT
TIME: Varies
An otologist will take a detailed medical history, review the CT scan, determine if
medical contraindications exist, and determine if a general physical is needed before
surgery. This appointment will also include a discussion of available cochlear implant
devices, surgery and recovery. If appropriate, other evaluations may be recommended.
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REHABILITATION CONSULT
TIME: 90 minutes
A case history is taken; auditory skills evaluated and educational placement is reviewed.
The need for preimplant training is discussed and determined at this time. Hearing aids
must be worn to this appointment.
SPEECH-LANGUAGE EVALUATION
TIME: 90-120 minutes
The child’s current communication abilities will be evaluated through informal and/or
formal assessment methods and future communication goals will be discussed. Hearing
aids must be worn to this appointment.
OPHTHALMOLOGIC EXAM (vision)
TIME: Varies
A basic pediatric eye exam to determine the vision status of the patient since many
hearing impaired individuals rely on vision to help them communicate. It may also help
rule out any syndromic involvement. Contact your pediatrician regarding where to have
this appointment completed. It is the responsibility of the parent to provide the results to
the implant team.
PSYCHOLOGICAL/SOCIAL CONSULT
TIME: 90 minutes
Psychological and social development, as well as expectations and coping strategies of
the implant recipient and their family members, are discussed and evaluated. Bring all
insurance information to this appointment. It is your responsibility to obtain any referrals
or authorizations required by your insurance carrier for this service. Give CPT
(procedure) code 96150 and diagnosis code 389.18 (sensorineural hearing loss) when
calling. Please do not assume that this service will be covered. You need to contact
your insurance company.
Co-pay, if applicable, is due at time of service.
If you come to the appointment without a required referral or authorization the
appointment will be rescheduled, or you will be required to pay in full at time of service.
Please call Jermey Raines 410-502-6755 if you have any questions.
DEVICE DISCUSSION
TIME: 30-60 minutes
Includes a review of devices, surgery, and post-operative care. At the completion, the
patient/parents select a device.
HEARING AIDS MUST BE WORN TO ALL APPOINTMENTS!