CPT 92507 Code Change Resources

 I wanted to provide some clarity about the uproar surrounding our CPT code 92507 being updated to a timed code rather than an untimed code. Here is the link to the ASHA information on the topic, which was last updated on Feb 23rd.

The Background

• CPT codes are established and trademarked by the AMA (American Medical Association)
• The CMS (Centers for Medicare and Medicaid Services) sets the rates for the codes, in conjunction with the AMA, via their Editorial Panel and Relative Value Scale Update Committee (RUC)
• ASHA has representatives on the Editorial Panel and the RUC Committee that advise and review code changes and updates.
• Each CPT code has an underlying time attached to it that the AMA assumes is used across settings. CPT code 92507 is currently untimed, but has an underlying time of 60 mins, meaning that in general, most clinicians who responded to the survey that the AMA sent out reported spending an hour for 9507, including time spent directly with the patient, mental effort, complexity, and charting. 
  • More information how how a CPT code becomes a CPT code

 The Updates

• In April 2024, CMS noticed that 92507 was being billed more than 100% more often from 2017 to 2022 for Medicare. That triggered them to flag the code for review by CMS and the AMA. This is not an error or a "bad thing", it just means that they noticed changes in the usage and wanted to review those changes. 
• The AMA then shared that review information with ASHA in 2025. Here is the agenda for the AMA Editorial Panel meeting sent out in September 2025, stating that 92507 would be reviewed and listing the proposed changes.
  • The changes include deleting 92507 and replacing it with other codes that will be timed (meaning billed in 15+ minute increments). 
• In October 2025, the AMA sent a survey to ASHA members asking them about their use of 92507. The AMA then used the information from that survey to send a report to the AMA RUC, who took that into account when creating new policies.
  • All of the information about the survey is shared in the RUC report from Feb 2026. The full document is over 3200 pages, but I have extracted just the pages relevant to SLPs in my Freebie Library (sign up on any page of my website)
• The RUC report lists the proposed new codes that will replace 92507 with more specific codes. The proposed new codes will be as follows:
  • 92X0X: Treatment of fluency disorder (eg, stuttering and cluttering), direct (one-on-one) patient contact; initial 30 mins
  • 92X1X: Treatment of fluency disorder (eg, stuttering and cluttering), direct (one-on-one) patient contact; each additional 15 mins
    • Use 92X1X in conjunction with 92X0X
    • Do NOT report 92X0X, 92X1X in conjunction with 97153, 97155 (These are ABA codes)
  • 92X2X: Treatment of speech sound production disorder (eg, articulation phonological process, apraxia, dysarthria), direct (one-on-one) patient contact; initial 30 mins
    • For treatment of speech sound production AND language comprehension and expression disorder, use 92X6X, 92X7X
  • 92X3X: Treatment of speech sound production disorder (eg, articulation phonological process, apraxia, dysarthria), direct (one-on-one) patient contact; each additional 15 mins
    • Use 92X3X in conjunction with 92X2X
    • Do not report 92X2X, 92X3X in conjunction with 92X4X, 92X5X, 92X6X, 92X7X, 97153, 97155)
  • 92X4X: Treatment of language comprehension and expression disorder (eg, receptive and expressive language), direct (one-on-one) patient contact; initial 30 mins
  •  92X5X: Treatment of language comprehension and expression disorder (eg, receptive and expressive language), direct (one-on-one) patient contact; each additional 15 mins
    • Use 92X5X in conjunction with 92X4X
    • Do not report 92X4X, 92X5X in conjunction with 92X2X, 92X3X, 92X6X, 92X7X, 97153, 97155
    • For treatment of speech sound production AND language comprehension and expression, use 92X6X, 92X7X
  • 92X6X: Treatment of speech sound production disorder (eg, articulation phonological process, apraxia, dysarthria)and language comprehension and expression disorder (eg, receptive and expressive language), direct (one-on-one) patient contact; initial 30 mins
  • 92X7X: Treatment of speech sound production disorder (eg, articulation phonological process, apraxia, dysarthria)and language comprehension and expression disorder (eg, receptive and expressive language), direct (one-on-one) patient contact; each additional 15 mins
    • Use 92X7X in conjunction with 92X6X
    • Do not report 92X6X, 92X7X in conjunction with 92X2X, 92X3X, 92X4X, 92X5X, 97153, 97155
    • For treatment of speech sound production disorder only, see 92X2X, 92X3X
    • For treatment of language comprehension and expression disorder only, see 92X4X, 92X5X
  • 92X8X: Treatment of voice, upper airway dysfunction, and/or resonance disorders, direct (one-on-one) patient contact; initial 30 mins
  • 92X9X: Treatment of voice, upper airway dysfunction, and/or resonance disorders, direct (one-on-one) patient contact; each additional 15 mins
    • Use 92X9X in conjunction with 92X8X
    • Do not report 92X8X, 92X9X in conjunction with 97153, 97155
• The CMS will release the Medicare Fee Schedule proposed rule in July 2026, which will include the valuation for the new codes. Until then, we do not know what the rates will be for each code. 
• Changes would take effect on January 1, 2027

Why This Matters

If 92507 is changed, it will affect any provider who bills for speech therapy- whether in schools, private practice, or hospitals. 

The current 92507 code definition includes "treatment of speech, language, communication, voice, and/or auditory processing disorders." The words "communication" and "auditory processing disorders" are not covered by any of these new codes, meaning that we no longer have a way to bill for treatment. 

If 92507 has a current underlying time of 60 minutes, then logically, these new codes with a shorter time will have a reduced reimbursement (e.g. if 92507 pays $65, then the new code for 30 mins would pay something like $32.50). We do not know the valuation yet, and will not know until the CMS releases the new fee schedule updates in November. 

Many SLPs were treating clients for 30 minutes due to already low insurance reimbursement, and will now need to see clients for double the time if seeing for both speech and language (92X6X). 

More Info

The Entrepreneurial SLP has a YouTube video explaining how this will affect pediatric SLPs in particular.

Fix SLP hosted Rick Gawenda on their podcast, explaining the new codes and possible valuation issues. You can listen here. 

Fix SLP has uploaded their Instagram Lives to YouTube so you can see all of the updates in one place

What You Can Do

1. Join your state association! Many other state associations are also forming task forces or otherwise addressing these changes. I have a list of all 50 state SLP associations in my Freebie Library; sign up on any page of my website to access!
2. Keep up with updates via the Fix SLP website, social media, and podcast. They are sharing the things we can do to help, and updates every few days!
3. Sign up for the next AMA CPT panel meeting, held LIVE in Boston or virtually, April 30-May 2, 2026. Here is the Fix SLP IG post on how and why to sign up
4. Call your senators/representatives to let them know that these upcoming changes will affect their whole state! 
5. Join the Speech Therapy Advocacy Alliance Facebook group

There is still time to change these codes and their valuations. You can help our profession and our patients by supporting advocacy efforts and educating yourself about billing.