NEUROPSYCHOLOGICAL EVALUATION FOR DEVELOPMENTAL DYSLEXIA
      (cost $1200)   (procedure code 96101 or 96118)


This is for the purpose of determining whether a child or adult has the reading problem that meets the criteria to receive
a formal diagnosis of a Reading Disorder (developmental dyslexia ).  It involves an assessment of overall cognitive
functioning as well as reading, writing and spelling testing. Learning disorders other than Dyslexia are also evaluated
when indicated. A formal diagnosis is necessary if you are seeking insurance reimbursement or are trying to obtain
special accommodations in school, for standardized testing or for employment purposes.  This evaluation results in an
integrated written report.   


Problems with Testing for Dyslexia

Automaticity is acquired in the latter stage of reading acquisition when decoding of words is automatic and therefore
rapid, which allows more mental resources to be directed to the task of reading comprehension.  Automaticity is
necessary for practical reading typical non-dyslexic readers.  However, the extra steps and mental effort the dyslexic
reader must use to perform basic decoding continues to reflect the ongoing interference that their dyslexia has with
practical reading.   Most reading tests that are used to evaluate for dyslexia are untimed and do not require Automaticity
of decoding and will often fail to detect the presence of dyslexia in a person who has had substantial remediation.  
People with dyslexia who have had substantial amount of remedial reading instruction can often perform well on these
untimed tests.  Consequently, it is important to administer reading tests that require Automaticity of decoding for the
evaluation to have a reasonable chance of detecting dyslexia.  Unfortunately, such tests are often not included in an
evaluation, which may result in a false negative diagnostic conclusion.
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