Cognitive Health (MCI) Program
Cognitive complaints come from a lot of places: concussion that won't resolve, chemotherapy, menopause, cardiac surgery, diabetes, obesity, and sometimes nothing you can name. The Cognitive Health Program tests the domains on a schedule, against the patient's own baseline, so you know whether it's moving and which way.
Who it's for
- Post-concussion syndrome with persistent cognitive complaints
- MCI of unclear cause
- Chemotherapy-related cognitive change
- Menopause-related cognitive change
- Post-cardiac cognitive decline
- Diabetes and obesity with cognitive complaints
What it includes
Baseline. MoCA in the office. PHQ-9 and PSQI to catch the reversible causes.
Between visits. Domain tests on your cadence: Digit Span and Trail Making A for attention, SDMT and WAIS Coding for processing speed, Trail Making B and Stroop for executive function. Brain training for attention where indicated.
Re-evaluation. In-office memory and language testing: RAVLT, BVMT-R, verbal fluency. Read against baseline.
Escalation. A trend that won't move triggers referral for formal neuropsych testing, with the record attached. See when to refer.
What gets documented
In-office administration and interpretation (96116, 96132/96133, 96136–96139). Remote automated testing (96146). Engagement days and review time for patients on a monitoring cadence (98978, 98979, 98980/98981). Educational, not coding advice.