Speech therapy CPT codes | 2020

Speech therapy cpt code

In this article, we, Daily Human Care, are going to discuss Speech Therapy CPT Codes. Let’s go!

What is speech and language therapy?

Speech therapy is the treatment of voice, language, and swallowing difficulties. The speech therapist is also regarded as a Speech-Language pathologist. Speech training helps to use your voice correctly and to make the same sound for your muscles. It allows people to learn and use the language. Speaking therapy may also help an individual begin to swallow after a stroke or any neurological injuries.

The following issues can be overcome by speech therapy:

Problems with speaking. This is difficult to sound correct; use the voice absolutely and do not struggle.

Problems of communication and language. There are difficulties with language comprehension, perception, or social reactions.

Problems with swallowing and eating. There are issues with the mouth and neck muscles.

What are the threats or adverse consequences?

Before you choose speech therapy, there are certain things to remember.

Language care will take a long time. It works better when the individual attends treatments every day. Parents or guardians must make sure that the children can practice in their home and schools


What’s the advantage?

Communication helps people to engage with others to communicate and to achieve a job or school success. For people with communication difficulties, speech therapy allows this to happen. Here are some advantages of speech treatment:

  1. Enables people to do regular things
  2. Provides people with more honesty and job progress
  3. Provides people who are unable to speak in many other ways
  4. Restricts vocal cord trauma or misuse or heals a damage
  5. Allows persons with brain damage or stroke to learn how to swallow

Speech therapy CPT code:

The CPT Coding Scheme specifies how treatments or facilities should be recorded, and the American Medical Association preserves and protects them. There are five numbers for each CPT code (e.g., 92507).

Speech therapy cpt code

Current Terminology of Procedures (CPT)

(CPT) is a compilation of clinical, diagnostic, surgical, and facility descriptive codes. As a common way of defining health care facilities, the American Medical Association developed CPT codes. The Codes are routinely checked and revised by a multidisciplinary panel to reflect medical growth accurately. In a variety of cases, CPT codes are used — like medical accounting.

Many codes can be selected, and many are very similar. Yet, a clear understanding of the procedure codes allows you to practice better. The selection of the correct CPT code to be used for a claim helps to ensure that the services you offer are appropriately refunded and decreases the likelihood that needs rejections to need re-subvention would take time.


Guidance for speech therapy CPT code:

While guidelines on coding and scope will vary from payer to payer, official principles must be taken into account. The following information offers instructions on different CPT coding subjects, but language-speaking pathologists also should approach payers for full exposure and code decision.

  • Subject coding of data
  • CPT codes timed and untimed
  • Programs for case management
  • Advice on medicines
    • Speech  Pathology Programs Medicare Coding Guidelines
    • Same day billing: Speech- Pathology of the Medicare Right Coding Initiative (CCI).

Top-rated CPT codes for language treatment

Ten codes, alongside their interpretations, are used most often by speech therapists. Even though a thorough understanding of CPT codes linked to speech therapy is essential for your medical bill, this list is a good starting point.

  1. 31579 — Stroboscoping laryngoscopy.

1st speech therapy CPT Code 31579 is used when the laryngoscope is inserted by the speech/language pathologist.   Furthermore, note that this code is not used for assessment — Code 92610 should instead be used (as appropriate).

  1. 92507 — Speech, expression, voice, interaction, and auditory impairment rehabilitation

Code 92507 is used in therapy programs related to sensory, speech, communication, and neurological problems.

  1. 92521 — Measurement of fluency in expression

The assessment shall include information on the use of code 92521:

  • the patient’s degree of fluency with a numerical and detailed evaluation and talking way to evaluate (such as SPM — minute syllables).
  • Documentation of the fluency:
  • frequency definition.
  • Findings of an instrument for industrial gravity stuttering.
  • A summary of gravity and frequency, sense of self, and dysfunction styles.
  1. 92523 — The study of the development of sound expression  (e.g., receptive and expressive language)

4th speech therapy CPT code is the assessment of patient word recognition should be given, utilizing quantitative and standard scores. Patient ability records can include: Information:

  • uniform outcomes of testing.
  • Log the comprehensibility percentage when familiar and new listeners are conscious and unidentified in contexts.
  • Signs and symptoms of sound disorders are identified.
  • Production or regularly related data comparison.
  • Standardized tests and the observation of language skills that are articulate and sensitive.

You can use an approximation of language age-equivalent standards when you cannot complete proper testing.


  1. 92524 — Comportemental speech and resonance study

The assessment of code 92524 should provide a numerical and comprehensive analysis of the patient’s voice and resonance with but not restricted to:

  • a patient’s consciousness summary on the vocal issue and phonatory behavior.
  • tone, frequency, intensity, and consistency of perceptive scores.
  1. 92526 — Management of swallowing impairment

To use code 92526, you must have an established feeding and swallowing problem. The problem needs to be recorded using best practice guidelines like:

  • Review of oral process
  • current nutrition constraints
  • a study on the introduction of nutrition
  • esophageal or pharyngeal dysphagia recognition
  • The methods used for compensation
  • the appropriate level of support
  • An existing essential awareness of swallowing and eating not just with aspirational signals
  1. 92605 — Auditing and substitute communications system prescription evaluation

This speech therapy CPT Code 92605 assessment refers to patients who require a non-speech system to produce additional and alternative contact (AAC). For the first hour, use this code and for a further 30 minutes, use code 92618.

The following individualized patient evaluations can be used in an AAC evaluation:

  • Functioning in touch
  • Partners in contact
  • Requests for contact
  • visual and motor competencies



  1. 92606 — Non-speech amplifier and alternative contact equipment for therapeutics services
  • the patient’s computer may be changed or programmed.
  • Suitable communication system usage.

Typically, you charge 92507 for continuing language and speech therapies after setting up and configured the system.

  1. 92609 — Voice producing system rehabilitation facilities

To adapt the speech generation system, and train the patients, apply code 92609 for in-person services.

  1. 92610 — Assessment of swallowing functions

This speech therapy CPT code is being used for the assessment of the capacity of a person to eat and drink. It can contain an:

  • evaluation of the ability to swallow using different constants and textures.
  • Review of coping mechanisms and improvements
  • Reaction examination and check of the brain, neck, and posture
  • evaluation for the face (lips), tongue, jaw, the soft and hard palate of the patient, laryngopharynx, and treatment of secretion



Knowing these codes and how they are used will help you understand better how and when you apply your claims and what evidence they have. You may want to print this list and keep it convenient because it is a helpful guide.

Also, read an interesting article about speech therapy for adults.

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3 comments
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