NCDActive
Melodic Intonation Therapy
NCD89
Effective: March 11, 1983
Updated: December 31, 2025
Policy Summary
Melodic intonation therapy is covered only for patients with nonfluent aphasia who have not responded to conventional speech therapy and only when the patient meets Medicare speech pathology coverage criteria. Coverage requires documentation of the nonfluent aphasia diagnosis, documented prior conventional therapy with lack of response, and compliance with speech pathology service coverage conditions; the policy does not specify session frequency limits and notes limited supporting evidence.
Coverage Criteria Preview
Key requirements from the full policy
"Melodic intonation therapy is covered only for patients with nonfluent aphasia who are unresponsive to conventional speech therapy."
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