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Proper Speech Therapy Billing

CPT® codes 92506, 92507 and 92508 are defined as “treatment of speech, language, voice, communication and/or auditory processing disorder; individual” in the CPT manual. Codes 92506, 92507 and 92508 are not considered time-based codes and should be reported only one time per session; in other words, the codes are reported without regard to the length of time spent with the patient performing the service.

Because the code descriptor does not indicate time as a component for determining the use of the codes, you need not report increments of time (e.g., each 15 minutes). Only one unit should be reported for code 92506, 92507 and 92508 per date of service. Blue Cross and Blue Shield of Texas (BCBSTX) adheres to CPT guidelines for the proper usage of these CPT codes.

Note: Unless there are extenuating circumstances documented in your office notes — for example, multiple visits on the same day — we will only allow one unit per date of service for these codes. Because of system limitations, our claims system previously could not identify multiple units on same day for these codes; however, these limitations have now been corrected and, as of October 1, 2009, the claims system is able to adjudicate these codes to allow for only one unit per day.

Current Procedural Terminology (CPT®), copyright 2008 by the American Medical Association (AMA). CPT is a registered trademark of the AMA.