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The Right ICD Code, Right Now: A Call to Action for Pragmatic Language Disorders After Right Hemisphere Stroke
Jamila Minga1,2, Shanika Phillips Fullwood3,4,5, Deborah Rose2
1Department of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, NC.
American Journal of Speech-Language Pathology
|August 22, 2024
Summary
Right hemisphere brain damage (RHD) can cause pragmatic language impairments, but lacks a specific diagnosis code. Establishing an International Classification of Diseases (ICD) code is crucial for improving patient care and awareness.
Area of Science:
- Neurolinguistics
- Clinical Neurology
- Health Informatics
Background:
- Stroke recovery necessitates accurate diagnosis of language impairments.
- Right hemisphere brain damage (RHD) frequently results in apragmatism, affecting pragmatic language.
- Current diagnostic systems lack a specific code for RHD-related pragmatic language deficits.
Purpose of the Study:
- To advocate for the creation of an International Classification of Diseases (ICD) code for pragmatic language impairments following RHD.
- To highlight the negative consequences of the absence of such a code on patient outcomes and clinical practice.
Main Methods:
- This is a viewpoint article, presenting a justification based on existing empirical evidence.
- Analysis of the impact of diagnostic classification on clinical awareness, education, and research.
Main Results:
- The lack of an ICD code contributes to underdiagnosis and reduced awareness of RHD pragmatic language impairments.
- This absence limits educational content and hinders epidemiological studies.
Conclusions:
- An ICD code for RHD pragmatic language impairments is essential for improving healthcare practitioner knowledge and practice.
- Formal classification will enhance public health considerations and epidemiological analyses.
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