Therapy Management & Consulting Services Blog

New CPT Evaluation Codes for SLPs

Effective January 1, 2014, CPT code 92506 will no longer be available for billing practice. CPT code 92506 is used for billing for the evaluation of speech, language, voice, communication, and/or auditory processing. This code is considered an “umbrella” code and will be replaced with four new, more specific evaluation codes related to language, speech sound production, voice and resonance, and fluency disorders.

CPT guidelines do not include language to restrict an SLP's ability to bill these codes together because there are circumstances when it is appropriate for a patient to be evaluated for multiple disorders on the same day. In these cases, it is highly recommended that documentation clearly reflect a complete and distinct evaluation for each disorder. Evaluation codes should not be billed for brief assessments that could be considered screenings.

Additionally, the Corrective Coding Initiatives (CCI edits) has updated Speech Therapy 92507 and Cognitive Skills Development 97532 cannot be billed on the same day by Speech therapy. Code 92507 is considered an inclusive code, including cognitive linguistic training as well. It can however be billed by different disciplines on the same day, for example, OT billing Cognition and ST billing speech.

New CPT Evaluation Codes for SLPs:

 

CPT Evaluation
  Code:

Description:

92521

Evaluation of speech fluency (e.g., stuttering, cluttering)

92522

Evaluation of speech sound production (e.g., articulation, phonological process, apraxia, dysarthria)

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.

*96105

Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour

*96125

Standardized cognitive performance testing (eg, Ross
Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report

*These are other evaluation codes that are available currently.

Do not bill these new codes for services provided before January 1, 2014 and conversely, do not bill code 92506 after January 1, 2014.

Tags: nursing home operations, nursing home occupancy, CPT Codes