Treatment Code Family Replacing 92507

The new speech-language pathology treatment codes replacing CPT code 92507 are structured to describe the following treatment services: fluency disorders, speech sound production disorders, language comprehension and expression disorders, combined speech sound production and language disorders, and voice, upper airway dysfunction, and/or resonance disorders.

How the New Code Family Is Structured

The new CPT codes replacing CPT code 92507 are for the following treatment services:

The following sections include the code numbers and full CPT descriptors for the new code family as well as guidance on reporting timed codes.

Clinicians should select the code that most accurately describes the disorder or condition being treated, the services provided, and the amount of direct, one-on-one patient contact during the session.

On this page:

• Treatment of Fluency Disorders
• Treatment of Speech Sound Production Disorders
• Treatment of Language Comprehension and Expression Disorders
• Treatment of Speech Sound Production and Language Comprehension and Expression Disorders
• Treatment of Voice, Upper Airway Dysfunction, and/or Resonance Disorders
• Group Treatment Code
• Understanding the Time-Based Structure
• Reporting Treatment Codes
• Reporting Multiple Services on the Same Day

Treatment of Fluency Disorders (92654 and 92655)

These codes describe the treatment of fluency disorders, such as stuttering and cluttering.

Treatment of Speech Sound Production Disorders (92656 and 92657)

These codes describe the treatment of speech sound production disorders, including articulation and phonological disorders, apraxia, and dysarthria.

When treatment addresses both a speech sound production disorder and a language comprehension and expression disorder, report the combined codes 92660 and 92661 instead. The speech sound production codes should not be reported with the separate language codes or the combined speech and language codes.

Treatment of Language Comprehension and Expression Disorders (92658 and 92659)

These codes describe the treatment of language comprehension and expression disorders, including receptive and expressive language disorders associated with conditions such as aphasia, traumatic brain injury, neurologic disease, late language emergence, and cerebrovascular accident.

When treatment addresses both a language comprehension and expression disorder and a speech sound production disorder, report the combined codes 92660 and 92661 instead. The language codes should not be reported with the separate speech sound production codes or the combined speech and language codes.

Treatment of Speech Sound Production and Language Comprehension and Expression Disorders (92660 and 92661)

These codes describe treatment that addresses both a speech sound production disorder and a language comprehension and expression disorder during the same session.

For example, these codes may be appropriate when treating a child with articulation and language disorders or an adult with dysarthria and aphasia. They should not be reported with the separate speech sound production codes 92656 and 92657 or the separate language codes 92658 and 92659.

Treatment of Voice, Upper Airway Dysfunction, and/or Resonance Disorders (92662 and 92663)

These codes describe treatment of voice, upper airway dysfunction, and/or resonance disorders associated with structural, neurologic, or functional conditions. Examples may include dysphonia associated with vocal nodules, spasmodic dysphonia, vocal tremor, vocal fold paralysis, and inducible laryngeal obstruction.

Group Treatment Code

CPT code 92508 has been revised as a stand-alone code for group treatment of speech, language, voice, communication, and/or auditory processing disorders involving two or more individuals.

Understanding the Time-Based Structure

The new individual treatment codes are based on direct, one-on-one patient contact time. The base code describes the initial 30 minutes, and the associated add-on code describes each additional 15 minutes. The add-on code may never be reported by itself and must be reported only with its designated base code.

Under the general CPT midpoint convention, clinicians may typically report the base code after they provide 16 minutes of the described service. Clinicians may typically report the first add-on unit after they provide the full 30-minute base period plus at least eight additional minutes. However, CPT instructions, CMS rules, and payer policies may establish different requirements. Providers must review the final CPT instructions and each payer’s billing policy before reporting the codes.

Time Tracking

The time associated with an untimed service or a different timed service cannot be counted toward the time used to report one of the new treatment codes. Documentation should identify the service performed and the direct treatment time associated with each reported code.

For a complete explanation, see Understanding Timed and Untimed CPT Codes. The tables above contain information on time to report for each code.

Reporting Treatment Codes

The following table and example illustrate how the new speech-language pathology treatment codes are generally reported based on the total direct treatment time provided during a single encounter when the CPT midpoint rule applies. Clinicians should always verify payer-specific billing requirements.

Example

A speech-language pathologist (SLP) provides 55 minutes of direct, one-on-one treatment for a patient with a language comprehension and expression disorder.

Coding:

• 92658 × 1 (initial 30 minutes)
• 92659 × 2 (each additional 15 minutes)

Why?

• The first 30 minutes are reported with the base code (92658).
• The next 15 minutes are reported with the first unit of the add-on code (92659).
• After the full 45 minutes have been completed (30-minute base code + one full 15-minute add-on), the remaining 10 minutes exceed the midpoint of the next 15-minute interval. Therefore, a second unit of the add-on code may be reported.

If the same treatment session lasted 48 minutes instead, the clinician would report:

• 92658 × 1
• 92659 × 1

The additional 3 minutes beyond the first add-on code would not meet the midpoint required to report a second add-on unit.

Reporting Multiple Services on the Same Day

More than one treatment code from the new family may be reported on the same date of service when each service is distinct, medically necessary, and independently meets its time requirement. Each add-on code must be reported with its corresponding base code, and the same treatment time cannot be counted toward more than one service.

For example, if an SLP provides both speech sound production treatment and voice treatment, the documentation should clearly identify the services provided, goals addressed, and time spent on each service.

The new codes may also be reported with other timed or untimed codes outside this family, such as codes for swallowing-related services, when all requirements are met and the documentation supports that the services were separate and distinct.

Do not report the separate speech sound production and language codes together. When both areas are treated, use the combined speech and language code instead. Likewise, do not report the combined code with the separate speech or language codes.

Payer-specific coding edits, including National Correct Coding Initiative (NCCI) and Medically Unlikely Edits (MUE) requirements (which should be announced during the last quarter of 2026), may also affect same-day reporting.

Questions? Contact ASHA’s health care education and policy team at reimbursement@asha.org.