92507 RESOURCE & ADVOCACY HUB

92507 IS CHANGING.

CPT 92507, the primary code used for individual SLP treatment, is scheduled to be deleted and replaced by a new family of treatment codes beginning January 1, 2027.

  UNDERSTAND THE CHANGE     TAKE ACTION  

Live Update Bar: PSHA UPDATE — AUGUST 30, 2026

PSHA is actively monitoring CMS, ASHA, Pennsylvania Medicaid, and commercial payer implementation plans. This page will be updated as verified information becomes available.

What’s Happening to 92507?

92507 is being replaced—not simply renumbered.

For years, SLPs have used 92507 to report individual treatment addressing speech, language, voice, communication, and/or auditory processing disorders. Beginning January 1, 2027, the current code will be replaced by a new structure of 10 CPT codes that separates treatment by clinical focus and uses timed billing.

Placeholder CPT

Clinical Service

 Proposed Work RVU Proposed Total RVU Proposed National Payment

92X0X

Treatment of fluency disorder (eg, stuttering and cluttering), direct (one-on-one) patient contact; initial 30 minutes

0.92

1.60

$54.55

92X1X

Treatment of fluency disorder; each additional 15 minutes (list separately in addition to the primary code)

0.44

0.73

$23.97

92X2X

Treatment of speech sound production disorder (eg, articulation, phonological process, apraxia, dysarthria), direct (one-on-one) patient contact; initial 30 minutes

0.90

2.01

$66.01

92X3X

Treatment of speech sound production disorder; each additional 15 minutes (list separately in addition to the primary code)

0.44

0.73

$23.97

92X4X

Treatment of language comprehension and expression disorder (eg, receptive and expressive language), direct (one-on-one) patient contact; initial 30 minutes

1.00

1.52

$49.92

92X5X

Treatment of language comprehension and expression disorder; each additional 15 minutes (list separately in addition to the primary code)

0.48

0.70

$22.99

92X6X

Treatment of speech sound production disorder and language comprehension and expression disorder, direct (one-on-one) patient contact; initial 30 minutes

1.00

2.18

$71.59

92X7X

Treatment of speech sound production disorder and language comprehension and expression disorder; each additional 15 minutes (list separately in addition to the primary code)

0.50

0.85

$27.91

92X8X

Treatment of voice, upper airway dysfunction, and/or resonance disorders, direct (one-on-one) patient contact; initial 30 minutes

0.98

1.67

$54.84

92X9X

Treatment of voice, upper airway dysfunction, and/or resonance disorders; each additional 15 minutes (list separately in addition to the primary code)

0.48

0.73

$23.97

Group Treatment

CPT code 92508 will continue to be an untimed code for group treatment.

Unlike the current code set, 92508 will function as a stand-alone code rather than being linked to the individual treatment code.

CMS has also proposed a HCPCS G Code for pediatric populations:

HCPCS

G Code

2027 Descriptor

 Proposed Work RVU Proposed PE RVU Proposed MP RVU Proposed Total RVU Medicare Rate
GSLPP Pediatric treatment of speech, language, voice, communication, and/or auditory processing disorder; individual 1.3 0.71 0.01 2.02 $66.34

Important: Do not start using the new codes early. Continue using 92507 through December 31, 2026, unless a payer specifically directs otherwise.

Why Should Pennsylvania SLPs Care?

Because a coding change can become a payment change.

The CPT code tells a payer what service was provided. It does not automatically determine what that service will be paid. PSHA should monitor the transition at three levels.

FEDERAL — CMS / Medicare
What will Medicare pay for the new codes?

PENNSYLVANIA MEDICAID
Will Pennsylvania Medicaid adopt the new codes? When? At what rates?

COMMERCIAL PAYERS
Will each payer adopt the new codes, and how will reimbursement be established?

92507 Timeline

2024  →  92507 flagged for review

2025–2026  →  CPT review and new code development

2026  →  RUC valuation and CMS proposal

***September 2026  →  CMS public comment period

Fall 2026  →  Final 2027 CPT information becomes available

December 31, 2026  →  LAST DAY FOR 92507

January 1, 2027  →  NEW CODES BEGIN

PSHA Recommendations

 

CMS Comment Resources

LINK TO SUBMIT A COMMENT TO CMS  

ASHA Resources

PSHA 3P’s On A Pod; PSHA Perspectives on 92507

Listen & Learn

Episode 1: PSHA Perspectives on 92507
Why 92507 was reviewed, what happened during the CPT process, and why the code is changing.
[ LISTEN NOW ]

Episode 2: CMS 92507 Comment
Prepare your CMS comments on the proposed 92507 changes.
[ LISTEN NOW ]

Upcoming 92507 Events

PSHA is preparing you for January 1.

92507 Town Hall
October 7, 2027 at 6:00- Virtual

Join us for PSHA’s annual town hall.  Learn about PSHA, what we have to offer and current legislation we are tracking in PA.  Immediately after the annual town hall will be a 92507 presentation and opportunities for discussion with other PA SLP’s to help you prepare for the upcoming change.  Participation is free and open to both members and nonmembers.

Understanding the New CPT Codes- November
Date TBD
Code structure, timed billing, documentation, EHR/billing preparation, and common questions.

Payer Update & Q&A- December
Date: TBD
Latest information from Pennsylvania Medicaid and commercial insurers.

 

Pennsylvania Payer Implementation Tracker

What is YOUR payer doing?

 

Payer

Adopting New Codes?

Effective Date

Reimbursement Information

PSHA Status

PA Medicaid

Possibly.  PSHA and ASHA met with PA’s Medicaid Director to discuss the codes.  Their office will review when the final rule is adopted.

Any possible changes will not take effect until March 2027 AT THE EARLIEST

The current fee schedule will stay in place until at least March.  Medicaid is considering the change.

Regular meetings and contacts with Secretary Arkoosh and Sally Kozad, Medicaid Director for PA

UPMC Health Plan

Awaiting confirmation

TBD

TBD

Monitoring

Highmark

Awaiting confirmation.  The Tri Alliance has regular contact with Highmark.  Highmark contact says they will make a decision in October once CMS has announced the final rule.

TBD

TBD

Regular meetings with Tri Alliance and will meet with SLP Director at Highmark in October.

Independence Blue Cross

Awaiting confirmation

TBD

TBD

Monitoring

Aetna

Awaiting confirmation

TBD

TBD

Monitoring

Cigna

Awaiting confirmation

TBD

TBD

Monitoring

UnitedHealthcare

Awaiting confirmation

TBD

TBD

Monitoring

Geisinger

Awaiting confirmation

TBD

TBD

Monitoring

Jefferson

Awaiting confirmation

TBD

TBD

Monitoring

Status Legend:

  • GREEN — Confirmed: payer has provided written implementation guidance.

  • YELLOW — Awaiting confirmation: PSHA has contacted the payer or is monitoring for guidance.

  • RED — Action needed: PSHA has identified a concern requiring member attention.

  • Purple — No information available: no verified payer guidance has been located.

REPORT A PAYER UPDATE  

If you have received confirmation from a payer, please let PSHA know by emailing [email protected].

Disclaimer: Payer information represents information verified by PSHA at the time of publication. Policies may change. Providers should confirm billing requirements directly with their payer before submitting claims.

 

SLP Preparation Checklist

☐ Keep using 92507 through December 31, 2026, unless a payer provides different instructions.

☐ Learn the new code structure and timed billing model.

☐ Contact your payers and ask about implementation and reimbursement.

☐ Talk to your billing team.

☐ Talk to your EHR vendor and confirm when the new codes will be available.

☐ Watch the PSHA payer tracker.

☐ Participate in advocacy and CMS public comments.

 

Frequently Asked Questions

Is 92507 going away?
Yes. CPT 92507 is scheduled to be deleted effective January 1, 2027 for Medicare.  

Can I use the new codes now?
No. The new code structure is for services beginning January 1, 2027.

Does this automatically change what Medicaid pays?
No.  Medicaid does not follow the Medicare schedule.  See the Payer Implementation Tracker for updates on Medicaid.

Will every insurance company use the new codes?
Payers will establish their own implementation policies. This means that other payers are not obligated to adopt the new code structure.  They also are not required to stick to the January 1, 2027 roll-out that Medicare is proposing.  PSHA will track Pennsylvania payer responses.

Will the new codes pay more than 92507?
There is no single answer. Payment will depend on the payer, setting, and finalized fee schedule.

What should I do right now?
Do not change billing prematurely, but you should start changing your documentation and charting practices now.  Specify number of minutes spent treating each disorder area.  

Learn the new structure, communicate with payers and billing systems, and follow PSHA for verified updates.

Stay Connected

PSHA will keep you informed.

This page will be updated as new information becomes available from CMS, ASHA, PA Medicaid, Pennsylvania insurers, CPT, and other verified sources.

  GET PSHA 92507 EMAIL UPDATES (button to our mailing list) 

 

PSHA IS WATCHING. PSHA IS ADVOCATING. PSHA IS PREPARING YOU FOR 2027.