Four new Current Procedural Terminology (CPT® American Medical Association) codes related to evaluation of speech sound production, language, fluency, and voice and resonance disorders will go into effect January 1, 2014, replacing CPT code 92506 (Evaluation of speech, language, voice, communication, and/or auditory processing). ASHA has developed a resource on the new CPT evaluation codes to address frequently asked questions and provide coding tips as speech-language pathologists prepare for the change.
At the request of the American Medical Association's Relative Value Update Committee (RUC), four new CPT codes were created to replace 92506 (Evaluation of speech, language, voice, communication, and/or auditory processing) effective January 1, 2014. With this change, speech-language pathologists will be able to bill speech, language, fluency, and voice evaluations using the following, more specific, codes:
- 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
Information regarding Medicare payment of these codes will be published in the 2014 Medicare Fee Schedule, which is scheduled to be released in late November of this year.
ASHA will continue to inform speech-language pathologists about the use of these new codes via The ASHA Leader, ASHA Headlines, and ASHA's Billing & Reimbursement website.
For questions, please contact ASHA's health care economics and advocacy team at [email protected].