Saying Goodbye to 92507: What SLPs Need to Know
The short version
CPT code 92507, the single, untimed code most SLPs have used for individual speech-language treatment for over two decades, is being deleted effective January 1, 2027. It will be replaced by ten new, domain-specific timed codes covering areas like fluency, speech sound production, language, and voice.
What's changing:
- From untimed to timed billing. Today, 92507 is billed once per session regardless of length. Under the new structure, the number of units billed depends on minutes spent, following the same midpoint rule already used in PT/OT billing.
- More specific codes. The new codes are organized by disorder area rather than one catch-all code.
- Reimbursement is likely to shift. Shorter sessions in a single domain billed under the new time-based codes may pay less per session than a full 92507 unit did; longer sessions and/or multiple domain areas combined may pay more. This could affect scheduling and session-length decisions, especially in pediatrics.
- Billing and documentation will need to shift. Documentation will need to explicitly reflect each domain targeted and for how long. Along with this, billing will become more complex.
What's still unsettled:
- Final code numbers and official CMS payment rates have not yet been published (expected with the CPT 2027 code set release).
- There has been active back-and-forth in the process itself which resulted in CMS releasing a pediatric G-code that had not been anticipated. These details are still under review and could change before January 1, 2027.
- How individual payers (Medicare, Medicaid, commercial insurers) will implement the transition is not yet known.
What hasn't changed (yet): 92507 remains fully valid and billable through 2026. No billing changes are needed right now, but the shift is coming, and preparation now will make the transition much smoother.
What WSLHA is doing for members
WSLHA is working to make sure members aren't navigating this transition alone or from scratch:
- Sip & Chats: WSLHA has provided 4 previous Sip & Chats (free to all) to share details as they've been released and has another planned for August to address how/what to consider in your comments to CMS. We are awaiting some additional information before we schedule this to make sure you have all the information before commenting.
- Direct advocacy with payers. We've drafted formal correspondence to health insurers and begun meetings, urging them to coordinate proactively with WSLHA as a point of contact, rather than leaving thousands of individual Washington SLPs to sort out payer-specific policy changes on their own.
- Member education. A webinar walking through the the new timed-code structure, and its implications for documentation and billing, is in development for October. We want members to feel supported and know what to prepare for.
- Hands-on transition guides. Our formal webinar will be followed by a hands-on workshop in November utilizing case studies submitted by members and guided by both a coding expert and our team. We've also developed a companion printable worksheet to help SLPs practice mapping diagnoses to the new code domains, track CPT usage, and build the documentation habits the new timed-code system will require.
- Direct advocacy with the AMA and CMS: WSLHA wrote a letter in regard to the alternate AMA proposal, and will submit a formal comment to CMS by September 14th, 2026.
Watch this space — WSLHA will continue to provide supports and information.
We'd love to have your questions/concerns (general and specific to 92507), profiles you're unsure how to code/bill, and/or ideas on the types of supports you'd value.
References — dig into the details yourself
As always with a coding change still in progress, we strongly recommend checking ASHA's official CPT resources page periodically for the most current, authoritative updates.
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