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 targeted medical review threshold of $3,000 for speech-language pathology and physical therapy and a separate cap for occupational therapy.
See also: Medicare Coverage Policies