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Cognitive Rehabilitation Services

Located in Queens, New York City. Contact Dr. Gianutsos by e-mail at cogrehab@pipeline.com or call 718 457-7483 ("HLP SITE") in the early morning (7:30 AM Eastern US time). If you leave a message, indicate where you may be reached in the evening. If your call is not returned in 24 hours, please call again.

Specialties

Services are:

    • Totally private
    • Innovative and practical
    • Based on science
    • Done in your home if helpful and feasible

We use the Worker’s Compensation / Motor Vehicle No-Fault Fee Schedule
An independant service provider (Not a member of any managed care system or network)


What is Neuropsychological (Cognitive) Rehabilitation

Neuropsychological Rehabilitation, also known as Cognitive Rehabilitation, is a treatment designed to help people recover mental functions lost or impaired following a brain injury , such as is caused by trauma, stroke, neurosurgical sequelae, tumor and disease. The kinds of problems addressed in Cognitive Rehabilitation fall into the following categories: Visual perception, memory, reasoning and problem solving, impulse control and self-regulation, energizing and direction of attention and effort, expression and abstract thinking. Cognitive Rehabilitation may emphasize these basic functions or their application to activities of daily living.

Three types of rehabilitative approach are typically included:

1. Restoration: cognitive training and exercises directed towards strengthening and restoration of function,

2. Substitution: compensatory devices and strategies directed towards substitution of lost functions and promoting conservation of affected brain functions, and

3. Restructuring: environmental restructuring and planning to promote improved functioning by changing the demands placed on the individual by themselves and others.

Frequently, Cognitive Rehabilitation takes advantage of modern computing technology and often the individual needs to use a personal computer, which almost becomes an extension of the brain. When long-term treatment is needed, the use of computer-augmented, home-based therapy is especially cost-efficient.


Relevant diagnoses

Cognitive, or Neuropsychological, Rehabilitation therapy is a medical rehabilitation treatment for the cognitive problems caused by injuries to the brain, including traumatic brain injury (800 and 850), cerebrovascular accident (438.0), encephalopathies (e. g., 357), complications of neurosurgical treatment of seizure disorders (345.9) and brain tumors (191).


Relevant providers

Practitioners who can offer Cognitive Rehabilitation include: Neuropsychologists (such as myself), Occupational Therapists and Speech/Language Pathologists. These different specialties have different emphases and resources, and it is a matter of professional judgment which practitioner is best suited to help each patient.

Cognitive Rehabilitation is NOT psychotherapy. Furthermore, it is not designed to treat mental illness, but rather to address thought processes impaired by brain dysfunction. It, therefore, belongs with other rehabilitative treatments, not in the mental health category.


What treatment (CPT) codes are used?

90806 Individualized (Neuro)Psychological therapy for cognitive deficits caused by brain injury (45-50 min)

90808 Individualized (Neuro)Psychological therapy for cognitive deficits caused by brain injury (75-80 min)

97532

Cognitive Skills Training (new code - reimbursement uncertain)


97533 Sensory Integrative Techniques (new code - reimbursement uncertain)

96115 Neurobehavioral Status Exam (per hour) - for evaluations