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 Advocacy information on the topic, which provides an overview of the process.

ASHA also released a video that explains the process on ASHA Stream. 

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 just means that they noticed changes in the usage and wanted to review those changes. 

The AMA Editorial Panel 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). 
• A helpful Fix SLP Instagram post on the changes

In October 2025, the AMA sent a survey to ASHA members asking them about their use of 92507. ASHA was not in charge of the survey. The AMA sent out about 9000 surveys and an average of 80 SLPs responded. The AMA RUC then took that information into account when creating new proposed 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 the ~ 100 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 (with final codes published in the CPT 2027 update in Sept 2026):
• 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

Billing information (what we know so far):

• Modifiers -22 and -52 cannot be used with these new timed codes
• Use modifier -59 when using one of the new codes with an AAC code (like 92609)
• 38 minutes is the absolute minimum time that you will be able to see clients to bill one 30 min base code and an additional 16 min code, due to the 51% rule, outlined in this article. "A unit of time is attained when the mid-point is passed. For example, an hour is attained when 31 minutes have elapsed (more than midway between zero and 60 minutes)..." HOWEVER, this is not across the board; some insurances will require a full 30 minutes to elapse before the 16 min add-on codes can be used, necessitating a 46 minute session to bill both codes. 
• We do not know if MPPR will apply to these codes. 
• Cognitive therapy codes (97129/97130), AAC codes (92609, etc), and feeding codes (92526, 92610) are not changing. 

What are the new rates for these codes?

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. 

• These codes will go into effect for all insurance types (Medicare, Medicaid, and commercial insurance), BUT each insurance type will decide on their own new rates, based on the new Medicare rates. 

We will not know the confirmed new valuation for these codes until the CMS releases the final fee schedule updates in November 2026. Changes will 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). 

Many pediatric SLPs were treating clients for 30 minutes due to already low insurance reimbursement, and will now need to see clients for longer if seeing for both speech and language (92X6X). For a more in-depth look at how we will need to see clients for 32 minutes AT THE LEAST, check out:

• this Instagram post from The Entrepreneurial SLP about the MMPR (Multiple Procedure Payment Reduction), which will be more applicable to these new codes 
• this Instagram post from Fix.SLP about how the proposed timed codes replacing 92507 are different from the timed codes that OTs and PTs use.
• The Entrepreneurial SLP also 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.

What We Can Do

• 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!
• 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
• Join the Speech Therapy Advocacy Alliance Facebook group
• Sign up for Rick Gawenda's newsletter (it's free, although you can also purchase a membership for access to additional resources)
• Call your senators/representatives to let them know that these upcoming changes will affect their state and the country as a whole

Regardless of the outcome of these new code valuations, you can help our profession and our patients by supporting advocacy efforts and educating yourself about billing.