Dollars $$ Sense New CPT Evaluation Codes for Speech-Language Pathology Dollars $$ Sense
Dollars $$ Sense  |   March 01, 2014
Dollars $$ Sense
Author Affiliations & Notes
  • Dee Adams Nikjeh
    ASHA Health Care Economics Committee, Co-Chair
Article Information
Speech, Voice & Prosodic Disorders / Voice Disorders / Speech, Voice & Prosody / Dollars $$ Sense
Dollars $$ Sense   |   March 01, 2014
Dollars $$ Sense
SIG 3 Perspectives on Voice and Voice Disorders, March 2014, Vol. 24, 6-8. doi:10.1044/vvd24.1.6
SIG 3 Perspectives on Voice and Voice Disorders, March 2014, Vol. 24, 6-8. doi:10.1044/vvd24.1.6
In 2008, Congress passed the Medicare Improvements for Patients and Providers Act. This piece of legislation granted speech-language pathologists (SLPs) Medicare provider status and recognized us as professionals, rather than technical assistants. Prior to this, our value was considered a practice expense as technical support. Beginning in 2009, The American Speech-Language-Hearing Association's (ASHA's) Health Care Economics Committee (HCEC) has taken every SLP procedure back to the American Medical Association (AMA; proprietors of the Current Procedural Terminology [CPT] manual) through a revaluation process to include professional work and effort in the value of each procedure. As you may imagine, it was impossible to describe the typical patient and exact procedure for CPT 92506 “Evaluation of Speech, Language, Voice, Fluency, Communication and/or Auditory Processing”…and anything else you may have wanted to throw in to the mix. As a result, the AMA requested that ASHA develop more specific codes. On January 1, 2014, the new evaluation procedure codes appeared in the 2014 CPT Manual and in the Medicare Physician Fee Schedule (MPFS) and replaced CPT 92506. Here are the new CPT numbers and descriptors.
  • 92521 - Evaluation of speech fluency (e.g., stuttering, cluttering)

  • 92522 - Evaluation of speech sound production (e.g., articulation, phonological process, apraxia, dysarthria)

  • 92523 - Evaluation of speech sound production (e.g., articulation, phonological process, apraxia, dysarthria) with evaluation of language comprehension and expression (e.g., receptive and expressive language)

  • 92524 - Behavioral and qualitative analysis of voice and resonance

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