Therapy CPT - 92506,92507,92601, 92626, 97124 WITH time

Covered Codes for Speech  Therapy Providers

Code	Description	Session Limit	Other Instructions
Covered Codes for Speech Therapists (ST) - Use modifier “GN” when billing these codes.
92506	Evaluation of speech, language, voice, communication, and/or auditory processing	1 unit	Limited to 1 evaluation per provider, per condition, per calendar year.
92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual	1 unit	Any combination of codes 92507, 92508, 92526, 97124, 97532 and 97533 are limited to 4 modalities and/or therapeutic procedures in one day.
92508	Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals	1 unit	See “Other Instructions” for 92507.
92520	Laryngeal function studies (i.e., aerodynamic testing and acoustic testing)	1 unit	Prior authorization is not required. This is not counted as a therapy session.
92526	Treatment of swallowing dysfunction and/or oral function for feeding	1 unit	See “Other Instructions” for 92507.
92601	Diagnostic analysis of cochlear implant, patient under 7 yrs of age; with programming	1 unit
92602	Diagnostic analysis of cochlear implant, patient under 7 yrs of age; subsequent reprogramming	1 unit
92603	Diagnostic analysis of cochlear implant, age 7 years or older; with programming	1 unit
92604	Diagnostic analysis of cochlear implant, age 7 yrs or older; subsequent reprogramming	1 unit
92626	Evaluation of auditory rehabilitation status; first hour	1 unit	Prior authorization is always required.
92627	Evaluation of auditory rehabilitation status; each additional 15 min.	N/A	Prior authorization is always required. Enter the primary code (92626) and this code on separate claim lines. Bill 1 unit for each additional 15 minutes used to complete the evaluation, consistent with the prior authorization.
92630	Auditory rehabilitation; pre-lingual hearing loss	1 unit	Prior authorization is always required.
92633	Auditory rehabilitation; post-lingual hearing loss	1 unit	Prior authorization is always required.
97124	Therapeutic procedure, one or more areas, each 15 min.; massage, including effleurage, pertrissage and/or tapotement	4 units	See “Other Instructions” for 92507.
97532	Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact by the provider, each 15 min.	4 units
97533	Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) contact by the provider, each 15 min.	4 units