Who gives the SPD Diagnosis?

by Amy

My 1st grader recently had an OT evaluation at school. It was mentioned in his ARD for speech that he had some fine motor issues. They pursued this concern and the OT report shows that he has some issues with fine motor skills which sounds to me like dysgraphia, scored below average on the test for visual motor integration, the short sensory profile indicated that he was having difficulty interpreting and using the sensory information from the world around him, particularly touch and movement. This was also evident by observation by the therapist during classroom observation time.




The sensory processing observations showed that he was observed seeking out increased tactile sensation and movement during classroom tasks. He followed instructions well, in one on one. He demonstrated difficulty imitating physical movement. The OT's report also said that he demonstrates a fine motor delay and sensory processing difficulties.

What I am wondering is, does this mean he has SPD? Who gives that diagnosis?



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Jun 28, 2013
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starstarstarstarstar 		Where are ICD codes used for OT?
by: TB---OT

These sound like medical billing codes. I'm wondering why they would be needed, since OT in the school setting is delivered as part of an educational model and OT's are discouraged from using a medical model approach?
The listings are from the PDR (Physician's Desk Reference).
SPD(Sensory Processing Disorder) isn't listed in the PRD yet, w/strong efforts to include it in the next issue. DCD (Developmental Coordination Disorder) is however, listed in the PDR.
I'm interested in where the ICD codes are being used...specific states....outpatient centers??? Anybody know?
Oct 21, 2010
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starstarstarstarstar 		SPD Diagnosis
by: Karin

315.8 simply reads as "Other Specified Delays in Development" There is no specific diagnosis for SPD, it is usually coded by symptoms, such as 782.0, "Disturbance of Skin Sensation" for tactile issues, etc...
May 24, 2009
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starstarstarstarstar 		test
by: Amy

I am not sure all of the test that were completed but know for sure he took the visual motor integration test and short sensory profile.
May 24, 2009
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starstarstarstarstar 		SPD Diagnosis
by: Dee

Hello,

My daughter has the same problem as your child have. She was diagnosis by her OT with Dyspraxia. She attend to her OT every 2 weeks. Now, we feel she has more than that. Her behaviors is extremely difficult and she can stand the light, noises etc...She is haven't a test for Autism. My doctor refers her to Pediatric. This is still on going at the moment. What kind of assessment did your OT did to your child?
May 23, 2009
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starstarstarstarstar 		Diagnosis
by: Kim Sullivan

The diagnosis code in ICD-9-CM is 315.8 and your doctor probably has a current book that lists this.
May 23, 2009
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starstarstarstarstar 		diagnosis
by: Anonymous

My doctor said that SPD is not a diagnosis yet. They only send them to OT.

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