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Official Description

Therapeutic service(s) for the use of non-speech-generating device, including programming and modification

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 92606 refers to therapeutic services involving the use of non-speech-generating devices, which are essential tools for individuals who have difficulty with verbal communication. These devices are designed to aid, supplement, or replace speech, enabling users to express their thoughts, needs, wants, and ideas without the necessity of producing voice output. Non-speech-generating devices encompass a variety of forms, including communication books, boards, and electronic devices that utilize pictures, letters, words, and phrases to facilitate communication. The role of the speech-language pathologist (SLP) is critical in this process, as they evaluate the effectiveness of a previously prescribed non-speech-generating communication device. During this evaluation, the SLP assesses whether the current programming of the device aligns with the patient's evolving communication needs. This assessment takes into account any changes in the patient's speech limitations, as well as any physical or learning disabilities that may have developed since the device was first acquired. Based on this evaluation, the SLP may proceed to reprogram or modify the device to ensure it adequately meets the patient's requirements for effective communication.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The therapeutic services associated with CPT® Code 92606 are indicated for individuals who require assistance in communication due to various conditions that impair their ability to speak. These indications may include, but are not limited to:

  • Speech Limitations: Conditions that restrict the ability to produce verbal speech, such as aphasia or dysarthria.
  • Physical Disabilities: Physical impairments that affect the ability to communicate verbally, including motor disorders or severe physical disabilities.
  • Learning Disabilities: Cognitive challenges that hinder effective verbal communication, necessitating alternative communication methods.

2. Procedure

The procedure associated with CPT® Code 92606 involves several key steps to ensure that the non-speech-generating device is effectively tailored to the patient's needs. These steps include:

  • Evaluation of the Device: The speech-language pathologist (SLP) conducts a thorough evaluation of the previously prescribed non-speech-generating communication device. This evaluation assesses whether the device's current programming is effectively meeting the patient's communication needs.
  • Assessment of Communication Needs: The SLP considers any changes in the patient's communication requirements since the acquisition of the device. This includes evaluating any new speech limitations or changes in the patient's physical or learning disabilities that may impact their ability to communicate.
  • Reprogramming or Modification: Based on the evaluation and assessment, the SLP may proceed to reprogram or modify the device. This step is crucial to ensure that the device continues to support the patient's ability to express their thoughts, needs, and ideas effectively.

3. Post-Procedure

After the therapeutic services associated with CPT® Code 92606 are completed, the patient may require follow-up sessions to monitor the effectiveness of the modifications made to the non-speech-generating device. The SLP will assess the patient's ability to use the device effectively and may provide additional training or support as needed. It is important to ensure that the device remains aligned with the patient's evolving communication needs, which may change over time. Regular evaluations may be necessary to adapt the device further, ensuring ongoing support for the patient's communication abilities.

Short Descr NON-SPEECH DEVICE SERVICE
Medium Descr THER SVC N-SP-GENRATJ DEV PRGRMG&MODIFICAJ
Long Descr Therapeutic service(s) for the use of non-speech-generating device, including programming and modification
Status Code Bundled Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 9 - Not Applicable
Multiple Procedures (51) 9 - Concept does not apply.
Bilateral Surgery (50) 9 - Concept does not apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 9 - Concept does not apply.
Co-Surgeons (62) 9 - Concept does not apply.
Team Surgery (66) 9 - Concept does not apply.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Service Paid under Fee Schedule or Payment System other than OPPS
Type of Service (TOS) 1 - Medical Care
Berenson-Eggers TOS (BETOS) O1F - Hearing and speech services
MUE 0
CCS Clinical Classification 220 - Ophthalmologic and otologic diagnosis and treatment
GN Services delivered under an outpatient speech language pathology plan of care
59 Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25.
GO Services delivered under an outpatient occupational therapy plan of care
KX Requirements specified in the medical policy have been met
Date
Action
Notes
2003-01-01 Added First appearance in code book in 2003.
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