What is the code for speech therapy?
Speech language pathologists may perform services coded as CPT codes 92507, 92508, or 92526.
What is the CPT code for speech delay?
92507
CPT Code 92507: Auditory Processing Disorders Speech therapy.
Does CPT code 92523 need a modifier?
If a patient is evaluated only for language, with no documentation of an assessment of speech (formal or informal), SLPs should bill 92523 with the -52 modifier, which is used when the services provided are reduced in comparison with the full description of the service.
What is the modifier for 92507?
Use 92507 with modifier “UC” for therapy following a cochlear implant. The procedure code description defines this code as one hour. One unit of this code = 1 hour. If less than one hour is used, bill in decimals to the nearest quarter hour.
Is CPT 92610 a timed code?
Here is a scenario to consider: a health plan sends you a notice saying it will no longer accept time units for untimed CPT codes, such as 92507 or 92610. The health plan offers a revised reimbursement rate that is significantly lower than the previous payment when time units were allowed.
Can a speech therapist Bill 97129?
Under Medicare, SLPs may use CPT codes 97129 (cognitive function intervention, initial 15 minutes) and 97130 (cognitive function intervention, each additional 15 minutes) when treating cognitive disorders.
Is 92610 a timed code?
What is procedure code 92523?
▪ 92523 Evaluation of speech sound production (e.g., articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (e.g., receptive and expressive. language) ▪ 92524 Behavioral and qualitative analysis of voice and resonance.
Does 92507 require a modifier?
Procedure codes 92507, 92526, 92630, 92633, and 97535 require modifier GN. Speech therapy treatment will be denied when billed by any provider on the same day as a speech therapy evaluation or reevaluation.
Who can bill CPT code 97129?
Psychologists
Psychologists must now use the stand-alone base code, 97129, to report the first 15 minutes of performing the primary service, and a 15-minute add-on code, 97130, which can be reported in multiple units, to report additional time (beyond the initial 30 minutes) required to complete the overall service.
What can be billed under 92507?
AP treatment should be coded under CPT 92507, the code for speech, language, voice, communication, and/or auditory processing disorder treatment.
What is a CPT 92610 evaluation?
CPT 92610 – Evaluation of oral and pharyngeal swallowing This evaluation is a clinical (usually bedside) one that does not involve the interpretation of dynamic radiologic studies or endoscopic studies. The evaluation typically includes a bedside assessment of oral-motor functioning and signs and symptoms of pharyngeal dysphagia.
What is CPT code 92521 for speech therapy?
CPT Code 92521: Evaluation of Speech Fluency Finally, let’s go over CPT code 92521. This is one of the most important medical codes for speech therapists. It refers to the evaluation of speech fluency, specifically speech fluency disorders such as stuttering, cluttering, etc.
What is the CPT code for Speech-Language Pathologist?
Use this code if the speech-language pathologist actually inserts an endoscope. Do not use this code if the speech-language pathologist is providing an analysis and does not insert the scope; instead, use code 92506 or 92610, as appropriate. Use this code for evaluation of dysphagia or assessment of velopharyngeal insufficiency or incompetence.
Should speech pathologists report physical medicine codes 97110 and 97112?
CMS staff have concluded that speech-language pathologists should not report physical medicine codes 97110 (Therapeutic exercises, each 15 minutes) and 97112 (Neuromuscular reeducation, each 15 minutes).