Common Private Practice Speech Language Therapy Insurance Codes: ICD and CPT Codes
What is a Current Procedural Terminology (CPT) Code? A code that describes the nature of the medical services. Here are some private practice speech language therapy insurance codes:
CPT Codes for Speech-Language Pathology
92507: One-on-One Speech-Language Therapy
92508: Group Speech-Language Therapy
92610: (Feeding/Swallow Evaluation)
95: is a modifier for telepractice, and the CPT code, e.g. 92507 or 92508 stays the same. CPT 95 is for reporting telepractice-related services e.g. synchronous telemedicine service rendered via real-time interactive audio and video telecommunication systems.
If insurance asks for a place code it’s (POS) 12 for home-based services and (POS) 11 for office-based services.
What is an ICD-10 Code? It’s a code that describes the medical condition.
Speech-language therapy is a medical necessity (read page 9) when there is a significant speech-language delay and/or issue.
Autism
F84.0: Autism Spectrum
Language
F80.1: Expressive Language Disorder
F80.2: Mixed Expressive Receptive Language Disorder & Social Communication Disorder
F80.9: Language Disorder/Developmental Disorder of Speech and Language
F80.82: Social Pragmatic Communication Disorder
F80.89: Other Developmental Disorders of Speech and Language
R48.8: Language Deficits Related to an Organic or Medical Condition. Other Symbolic Dysfunctions, such as Auditory Processing Disorder, cognitive language disorders, and executive function impairment due to organic or neurological conditions.
Learning
315.2 Unspecified Specific Learning Disorder
F81.0 Specific Reading Disorder/Specific Learning Disability with Specific Impairment in Reading Comprehension
F81.1 Specific Impairments in Written Expression: Spelling, Clarity and Organization of Written Expression
*Please note that each State defines the definition of Learning Disorders and Language Disorders. The State’s definition might not be in accordance with the definition defined by the American Speech Hearing Association (ASHA).
Speech
F80.0: Phonology/Articulation Disorder
R47.1: Dysarthria and Anarthria
R48.2: Apraxia
*There is no specific code for oral motor related issues
Feeding
R63.3 Feeding Difficulties
92526: Feeding Therapy
R13.11: Oral Phase Dysphagia
R13.12: Oropharyngeal Phase Dysphagia
92610 (Feeding/Swallow Evaluation)
Fluency
F80.81: Childhood-Onset Fluency Disorder
Hearing Loss
F80.4: Speech and Language Development Delay due to Hearing Loss
Central Auditory Processing Disorder
H93.25 and additional codes
Evaluations
92521: Evaluation of Speech Fluency
92522: Evaluation of Speech Sound Production
92523: Evaluation of Language Expression and Comprehension and Speech Sound Production
92523: Evaluation of Language Expression and Comprehension and Speech Sound Production
92524: Behavioral and Qualitative Analysis of Voice and Resonance
These webpages provide extensive information on audiology and speech-language pathology specific issues related to Medicare, Medicaid, private health plans, and billing codes.
Appealing Health Insurance Denials
ASHA provides additional information on ICD-10-CM coding. For specific questions, contact [email protected].
***Please note that Brooklyn Letters does not answer questions related to insurance reimbursement. Please contact your insurance provider.
Craig Selinger
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