How To Use CPT Code 92507

CPT 92507 describes the treatment of speech, language, voice, communication, and/or auditory processing disorders for individual patients. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 92507?

CPT 92507 can be used to describe the treatment provided by a healthcare professional to patients with speech, language, voice, communication, and/or auditory processing disorders. This code is used when the provider directly interacts with the patient to assess their condition and provide therapy to improve their communication abilities.

2. Official Description

The official description of CPT code 92507 is: ‘Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual.’

3. Procedure

1. The healthcare professional assesses the patient’s communication abilities, including their ability to make sounds and understand and express language.
2. Based on the assessment, the provider develops a treatment plan tailored to the patient’s specific needs.
3. The provider performs various therapy techniques, such as articulation therapy, oral strength and control exercises, and language therapy.
4. During the therapy sessions, the provider interacts with the patient through actions, lip movements, and other techniques to improve their communication skills.
5. The provider records the patient’s progress and guides them in performing daily activities to enhance their communication abilities.

4. Qualifying circumstances

Patients eligible to receive CPT 92507 services are those with speech, language, voice, communication, and/or auditory processing disorders. These disorders may result in communication disabilities, such as difficulty pronouncing sounds, understanding and following directions, or integrating sounds into words and phrases. The provider must directly interact with the patient to assess and treat their condition.

5. When to use CPT code 92507

CPT code 92507 should be used when a healthcare professional provides individual treatment for a patient with speech, language, voice, communication, and/or auditory processing disorders. This code is not time-based, so it should not be reported with multiple units on the same day, regardless of the time spent with the patient.

6. Documentation requirements

To support a claim for CPT 92507, the healthcare professional must document the following information:

• Patient’s diagnosis and the need for treatment
• Specific therapy techniques used
• Date and duration of each therapy session
• Progress made by the patient
• Signature of the healthcare professional providing the service

7. Billing guidelines

When billing for CPT 92507, ensure that the therapy is provided to an individual patient. Do not report CPT 92507 in conjunction with other codes, such as 97153 or 97155. If the therapy is provided in a group setting, use CPT code 92508. Local Medicare carriers may have specific guidelines for ongoing speech therapy services, requiring them to be provided by a speech-language pathologist (SLP).

8. Historical information

CPT 92507 was added to the Current Procedural Terminology system on January 1, 1990, with a code change on January 1, 2006. There have been no updates to the code since its addition.

9. Examples

1. A speech-language pathologist providing therapy to a child with articulation difficulties.
2. A therapist working with a patient with auditory processing disorder to improve their ability to differentiate between sounds.
3. A provider helping a stroke survivor regain their language skills through therapy sessions.
4. A speech therapist assisting a patient with expressive language difficulties in conveying their wants and needs.
5. A healthcare professional working with a patient with voice disorders to improve their vocal quality and resonance.
6. A provider treating a patient with communication difficulties resulting from a traumatic brain injury.
7. A therapist helping a child with language delays to improve their receptive language skills.
8. A speech-language pathologist working with a patient with fluency disorders to improve their speech fluency.
9. A provider assisting a patient with social communication difficulties in developing effective communication strategies.
10. A therapist helping a patient with cognitive-communication impairments to improve their communication abilities.