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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) |
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| 90808 |
Individualized
(Neuro)Psychological therapy for cognitive deficits caused by
brain injury (75-80 min) |
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| 97532 |
Cognitive
Skills Training (new code - reimbursement uncertain)
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| 97533 |
Sensory
Integrative Techniques (new code - reimbursement uncertain)
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| 96115 |
Neurobehavioral
Status Exam (per hour) - for evaluations |
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