CPT 92507: Speech Therapy Treatment Code (and the 2027 Replacement)
Codes verified against ASHA's 2027 code change summary, the CMS 2026 fee schedule files and the Medicare SLP billing article A52866. Reviewed . See sources.
What is CPT 92507?
CPT 92507 is individual treatment of speech, language, voice, communication or auditory processing disorders. It remains valid through December 31, 2026. On January 1, 2027, ASHA reports that 92507 is deleted and replaced by ten time-based codes, 92654 to 92663, organized by disorder type. Swallowing treatment is 92526 and the combined speech and language evaluation is 92523.
For more than two decades 92507 has been the main individual treatment code for speech-language pathologists. That changes in 2027. The new family splits treatment into five clinical categories, each with a base code for the first 30 minutes and an add-on code for each additional 15 minutes.
This page covers how 92507 works in 2026, what replaces it in 2027, and the two related codes SLPs bill most: 92523 for evaluation and 92526 for swallowing and feeding treatment. For SLP documentation, see WellNotes for speech-language pathologists.
SLP codes on this page (2026)
| Code | What it covers (paraphrased) | Status |
|---|---|---|
| 92507 | One-on-one therapy for speech, language, voice, communication or auditory processing problems. | Active in 2026. Deleted January 1, 2027 (ASHA). |
| 92508 | The same treatment delivered to a group of two or more. | Active. ASHA says it is revised as a stand-alone code for 2027. |
| 92523 | Evaluation of speech sound production combined with evaluation of language comprehension and expression. | Active. Untimed evaluation. |
| 92526 | Treatment of swallowing problems or oral function for feeding. | Active. Not listed among the codes replaced in ASHA's 2027 summary. |
Is CPT 92507 being replaced in 2027?
Yes. ASHA states that CPT code 92507 will be deleted and that it remains in effect through December 31, 2026. Beginning January 1, 2027, individual treatment is reported with a new family of ten codes.
CMS proposed Medicare payment for the new codes in the CY 2027 Physician Fee Schedule proposed rule (released July 15, 2026). As of ASHA's September 2026 update, the final rule had not been published, so final Medicare values were not yet known.
| Category | Base code (first 30 minutes) | Add-on (each additional 15 minutes) |
|---|---|---|
| Fluency disorders | 92654 | 92655 |
| Speech sound production disorders | 92656 | 92657 |
| Language comprehension and expression disorders | 92658 | 92659 |
| Combined speech sound production and language disorders | 92660 | 92661 |
| Voice, upper airway dysfunction and/or resonance disorders | 92662 | 92663 |
How will time work under the 2027 codes?
ASHA explains that under the CPT midpoint convention, the base code may typically be reported after 16 minutes of the service, and the first add-on unit after the full 30 minute base period plus at least 8 more minutes. Less than 16 minutes is not reported separately. More than one code from the family may be reported on the same date when each service is distinct, medically necessary and meets its own time requirement, and documentation should identify each service and its direct treatment time.
That is a real change for SLP notes. Starting in 2027, a note needs the minutes spent on each treatment category, not just the session length.
How is 92507 billed in 2026?
The 92507 descriptor has no time component. The Medicare speech-language pathology billing article (A52866) cites the Medicare Claims Processing Manual for reporting 92507 and 92508 as a single encounter with one unit of service regardless of duration, in the context of auditory processing and aural rehabilitation. Medicare outpatient SLP claims also carry the GN modifier, which Noridian defines as services delivered under an outpatient speech-language pathology plan of care.
Commercial and Medicaid plans may set their own unit or time rules for 92507, so check each payer's policy.
What are 92523 and 92526?
92523 is the combined evaluation of speech sound production with language comprehension and expression. ASHA notes that 92522 (speech sound production alone) and 92523 are not billed on the same day, since 92523 already includes the speech sound evaluation, and that modifier 52 can mark a reduced service, such as a language-only evaluation billed as 92523-52. The evaluation codes are untimed.
92526 is treatment of swallowing dysfunction and/or oral function for feeding. It is a separate treatment code, and ASHA's summary of the 2027 change does not list it among the replaced codes. The Medicare article notes there is no CPT re-evaluation code for speech-language pathology; a re-evaluation is reported with the evaluation code.
What should the session note show?
- The disorder treated (fluency, speech sound, language, voice, swallowing), since the 2027 codes are chosen by category.
- Direct treatment minutes for each service, starting now, so the switch to time-based codes in 2027 is easy.
- Objective, functional measures rather than vague ratings; the Medicare article says terms like "mildly impaired to moderately impaired" are not measurable enough.
- The skilled techniques used and the client's response, showing why an SLP was needed.
- Prior level of function and progress toward goals. See the SOAP note template for a consistent layout.
Common mistakes
- Billing 92507 for dates of service on or after January 1, 2027.
- Billing 92522 and 92523 on the same day.
- Billing multiple units of 92507 for a long session without checking the payer policy. Medicare guidance for auditory processing treatment reports it as one unit per encounter, and the descriptor has no time component.
- Leaving off the GN modifier on Medicare outpatient SLP claims.
- Notes without treatment minutes, which will not support the 2027 time-based codes.
Frequently Asked Questions
Is CPT 92507 being deleted?
Yes. ASHA reports that 92507 is deleted effective January 1, 2027 and replaced by ten time-based treatment codes, 92654 to 92663. It remains valid through December 31, 2026.
What replaces 92507 in 2027?
Five pairs of codes, one pair per category: fluency (92654, 92655), speech sound production (92656, 92657), language (92658, 92659), combined speech sound and language (92660, 92661), and voice, upper airway or resonance (92662, 92663). Each pair has a 30 minute base code and a 15 minute add-on.
Is 92507 a timed code?
No. Medicare guidance for auditory processing treatment reports it as one unit per encounter, and the descriptor has no time component. Check the payer policy. The 2027 replacement codes are time-based.
Can 92507 and 92526 be billed together?
They describe different services, speech and language treatment and swallowing or feeding treatment. Whether both are paid on the same date depends on NCCI edits and payer policy, so check before billing both.
Is 92523 billed with 92522?
No. ASHA notes that 92523 already includes the speech sound production evaluation, so 92522 and 92523 are not billed on the same day.
Related references
Sources
- ASHA: New speech-language pathology treatment codes replacing 92507
- ASHA News: CMS proposes Medicare payment for new SLP treatment codes (September 2026)
- ASHA: CPT evaluation codes for SLPs (92521 to 92524)
- ASHA: Model superbill for speech-language pathologists (code list)
- CMS Medicare Coverage Database: Billing and Coding, Speech-Language Pathology (A52866)
- Noridian: Modifier GN
- CMS: 2026 Physician Fee Schedule relative value files (code status and short descriptors)
Payer rules vary. Confirm diagnosis, coverage, modifier, and documentation rules with each payer before billing. This page is general education, not billing, coding, or legal advice. The diagnosis is the treating clinician's decision.
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