Update on CPT Code 92507: Valuation Review Underway

ASHA has been notified that a Code Change Application has been submitted for review at the April 30–May 2, 2026, CPT Editorial Panel meeting. The application was submitted by another party and addresses speech-language pathology codes approved for the 2027 CPT code set.

If you would like your perspective considered during the Panel’s review, you may participate through the formal process outlined below.

On March 6, 2026:

• Registration opens for individuals who wish to follow specific applications and participate in the review process.
• Meeting agenda materials will be posted on the AMA's website.

Participants may submit written comments to the AMA before the meeting and/or provide verbal comments during the meeting. The April 30–May 2 meeting will be held in a hybrid format.

Note: ASHA is sharing this update for informational purposes only. Please contact the AMA directly with any questions about this meeting and/or the process.

Updated: February 11, 2026

ASHA is aware of significant interest and concern about CPT® code 92507. In response to the questions we have received from members, we are providing additional context about the coding and valuation process. As the professional association representing speech-language pathologists (SLPs), ASHA’s role is to advocate for the profession within the established American Medical Association (AMA) and Centers for Medicare & Medicaid Services (CMS) processes, including required confidentiality provisions [PDF].

This page was originally published on January 28 and substantially updated on February 11 to address questions from members and provide additional context about the review process. It explains why the review is occurring, how the process works, and what information can be shared at this stage. ASHA remains committed to transparency and will continue to share verified updates as information is released publicly.

On this page:

• Current Status
• Why 92507 Is Under Review
• CPT Code Review Process and ASHA’s Role
• Understanding the Current Valuation of 92507
• Payer Policy Context: Medicare, Medicaid, and Commercial Plans
• Questions About Code Structure (e.g., Time-Based Codes)
• What Happens Next

Current Status

• CPT code 92507 remains in effect. There are no immediate changes to how the code is reported or billed, unless an individual payer initiates its own changes. Any changes resulting from this review will not take effect until January 1, 2027.
• Code 92507 is currently undergoing a coding and valuation review as part of the AMA CPT and CMS Medicare Physician Fee Schedule processes, which are used when utilization patterns and clinical practice have evolved.
• The process is expected to inform an updated code structure and valuation, which is intended to better reflect current clinical practice.
• Final details of code structure and payment values will not be known until they are released publicly by the AMA or CMS through formal channels, such as rulemaking.

Why 92507 Is Under Review

At a glance:

• This code was identified through a high-volume growth screen requested by CMS after Medicare utilization significantly increased between 2017 and 2022, triggering the review of this code.
• Overutilization and unusual billing patterns prompted increased payer scrutiny.
• Reassessment of the code structure and value is intended to determine whether the code still reflects current clinical practice patterns.

AMA and CMS periodically review CPT codes to ensure the code structure continues to reflect real-world clinical practice. In April 2024, CPT code 92507 was identified through a high-volume growth screen after Medicare utilization increased by more than 100% between 2017 and 2022. This level of growth meets one of the AMA’s and CMS’ standard criteria to flag a code for review.

In addition to the AMA and CMS screens, other payers have also begun reviewing utilization patterns for CPT code 92507. These reviews were driven not only by increased volume, but also by concerns regarding potential overutilization and atypical billing patterns in certain areas of the market. As a result, payers have expanded audits and implemented additional reimbursement controls to support program integrity, fiscal stewardship, and compliance with federal and state budget requirements.

While the majority of SLPs provide medically necessary services and bill appropriately, the AMA, CMS, and payer data identified utilization trends that warranted closer evaluation of this code. This type of review is a routine process that CMS and other payers use to address sustained utilization growth and determine whether existing code structures and valuations remain aligned with current clinical practice.

CPT Code Review Process and ASHA’s Role

The AMA owns and maintains the CPT code set and uses established screening processes to periodically review and flag codes that may no longer reflect current clinical practice patterns. These same processes are also used to develop new CPT codes when advances in care delivery, technology, or clinical practice warrant updated descriptions of services. For example, ASHA participated in this process to help develop CPT codes related to caregiver training, which CMS first implemented in 2024. Together, these processes ensure that CPT codes remain aligned with evolving clinical practice and advances in care delivery.

When a CPT code is flagged for review by the AMA or CMS, professional societies play a central role in representing their professions. As the professional society representing SLPs, ASHA provides coding and clinical expertise and plays a key role in the code development process, advocating for accurate representation and appropriate valuation of speech-language pathology services. (See How A CPT Code Becomes A Code [PDF].)

Several circumstances can trigger ASHA’s involvement in the CPT process, including the need for a new code, a proposed revision, or when an existing code is flagged for review. When this occurs, ASHA follows an established process. This includes developing proposed revisions through a careful review of current practice patterns and evidence-based treatment supported by peer-reviewed literature. ASHA consults with an expert panel of SLPs, including subject matter experts and practicing clinicians, and identifies relevant technologies, supplies, and equipment used in the procedures. The goal is to ensure that CPT codes reflect the specialized, complex, and highly skilled services SLPs provide.

ASHA followed this established process to support its participation in the CPT review and valuation process for CPT code 92507 and proposed a new code structure to better reflect today’s clinical practice. Any recommendations developed through this process are considered as part of the broader AMA CPT and CMS review and do not determine the final outcome. Final decisions regarding code structure and valuation are made through the AMA and CMS processes and cannot be confirmed until they are released publicly. Participation in this process requires ASHA to comply with confidentiality requirements [PDF] that apply to all organizations involved.

How ASHA Members Engage in This Process

ASHA ensures that members are actively engaged throughout the entire process, from code development through valuation.

Initially, members provide input on:

• Current clinical practice patterns;
• Evidence-based approaches and treatment techniques; and
• Technologies, equipment, and supplies used in delivering services.

During the code development phase, ASHA member volunteers present this collected input in a proposal to the AMA CPT Editorial Panel

Once the proposed code changes are approved, ASHA surveys its members to collect valuation data. The proposed underlying times and values for the codes are derived from the surveys fielded to a large random sample of ASHA members in October 2025.

As part of the valuation process, ASHA member volunteers present these survey results to the AMA RUC.

What ASHA Does

ASHA’s role in this process is defined by both clear responsibilities and clear limits.

• ASHA has served as the official representative of SLPs in the AMA CPT code development and valuation processes, through participation by ASHA member volunteers, for over 30 years.
• ASHA provides coding and clinical expertise, supports the development of coding proposals, and advocates for appropriate description of speech-language pathology services based on the current clinical practice patterns.
• ASHA surveys its members to gather valuation data and advocate for code values that reflect current clinical practice. ASHA also shares verified updates with members as soon as the AMA/CMS processes allow us to do so.
• ASHA provides education and resources to support members.

What ASHA Does Not Do

• ASHA does not control the AMA or CMS screening and review processes or have authority to stop them.
• ASHA cannot disclose new code structures, survey results, or valuation details prior to public release due to the AMA’s confidentiality requirements [PDF].
• ASHA cannot bypass the established CPT process by asking private practice owners or individual clinicians to submit information directly to the AMA.
• ASHA does not arbitrarily create values for new or revised codes. These proposed values are primarily derived from member surveys and extensive deliberation through the AMA RUC process.
• ASHA does not have the authority to establish the final code values. CMS holds the authority in designating the final values to inform Medicare payment once the AMA submits the recommended values to CMS. Other payers, including Medicaid and private insurers, can choose to adopt the updated codes and CMS-established values, but are not always obligated to.

While some members chose not to participate in the survey process, many members did provide valuable input that helped guide ASHA’s recommendations. ASHA will continue to represent the profession throughout the remainder of the AMA’s process.

Understanding the Current Valuation of 92507

CPT code 92507 is currently valued at 1.30 work Relative Value Units (RVUs), based on a typical treatment time of 60 minutes. RVUs are used to determine the value of CPT codes based on physician/qualified health provider (QHP) work, practice expenses, and liability insurance.

At the time of this code’s last valuation—more than 15 years ago—survey data from SLPs indicated that a typical session included:

• 5 minutes of pre-service time;
• 50 minutes of intra-service time; and
• 5 minutes of post-service time.

Although the code descriptor does not explicitly specify time and 92507 is considered an untimed code, payer expectations and payment were established based on a 60-minute typical session. You can learn more about these untimed codes in our ASHA Leader article: The Right Time for Billing Codes: Here’s what you need to know about billing timed and untimed evaluation and procedure codes.

The untimed nature of CPT code 92507 allowed flexibility for clinicians to provide:

• Shorter sessions when clinically appropriate; and
• Longer sessions for patients who required extended treatment.

Payer Policy Context: Medicare, Medicaid, and Commercial Plans

Across the health care system, payers are responding to utilization growth by:

• Monitoring utilization trends, including increases in billing frequency for codes and tracking diagnosis and service coding patterns;
• Increasing audits;
• Implementing additional documentation requirements; and
• Adjusting reimbursement rates.

Multiple factors are driving this, including:

• Medicare and Medicaid budget neutrality requirements;
• Broader health care funding constraints, including those associated with recent federal legislation (e.g., the One Big Beautiful Bill Act);
• State Medicaid fiscal oversight; and
• Utilization trends and audits.

For example, recent payment reductions by Medicare and North Dakota Medicaid reflect these broader policy pressures in the health care system and completely separate from AMA’s CPT code review process. Professional societies continue to advocate for fair payment levels and to prevent or mitigate detrimental policies where appropriate through regulatory and legislative channels.

Questions About Code Structure (e.g., Time-Based Codes)

Some members have asked why speech-language pathology services are not structured similarly to physical therapy or occupational therapy 15-minute codes.

Code structure decisions are based on:

• Historical valuation methodology;
• Typical service patterns at the time of valuation; and
• AMA and CMS coding conventions.

ASHA has evaluated current clinical practice patterns and submitted recommendations informed by clinician input and evidence. Further details about any new code structures will be shared once they are released publicly.

What Happens Next

CMS is expected to release the Medicare Physician Fee Schedule proposed rule in July. Once it’s released, ASHA will review it and share updates with members. Meanwhile, CPT code 92507 remains valid and billable based on current payer guidelines.

Questions?

Email reimbursement@asha.org. ASHA will continue to share verified updates as soon as information becomes publicly available. Please refer to Advocacy News for the latest confirmed updates.