Medicare Reimbursement of Speech-Language Pathology Services
Speech-language pathology services under Medicare Part B have reimbursement rates established by the Medicare Physician Fee Schedule regardless of provider setting. Payment is determined by the fee associated with a specific procedure code in those settings. The fee schedule is updated annually.
Payments for outpatient therapy services are subject to a combined therapy cap for speech-language pathology and physical therapy and a separate cap for occupational therapy. An exceptions process was established that allows beneficiaries to receive medically necessary outpatient services beyond the cap.