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03/16/26

Billing for a Speech-Generating AAC Device

Speech-language pathologists (SLPs) perform evaluations for speech-generating augmentative and alternative communication (AAC) devices. However, many SLPs do not understand what is included in this type of evaluation. In addition, SLPs do not understand when to bill for an evaluation of an ACC device when the evaluation takes more than 1 visit to complete. In this article, I will answer the following questions:

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03/10/26

Speech Therapy – Rescind the Deletion of CPT Code 92507

The American Medical Association (AMA) has released the agenda for the April 30 – May 2, 2026 CPT Editorial Panel meeting. A code change application has been submitted requesting the AMA to rescind the establishment of Category I codes 92X0X, 92X1X, 92X2X, 92X3X, 92X4X, 92X5X, 92X6X, 92X7X, 92X8X, and 92X9X, approved changes to the guidelines, and the deletion of code 92507 from the September 2025 Panel meeting. If you are a speech-language pathologist (SLP) or an owner that provides speech therapy services, you may want to participate in the meeting virtually. In addition, you may want to submit comments either

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03/09/26

Billing for Therapy Services Using My NPI When I am Out of the Country

All therapists take vacation at some point. It is well deserved! Some therapists are fortunate enough to vacation outside of the United States. However, while you are in Europe, Asia, South America, the Caribbean, etc., something could be going terribly wrong back at your practice. In this article, I will answer the following questions:

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03/02/26

Is an Untimed CPT Code Really Untimed?

CPT codes billed by outpatient therapy providers are either time-based or un-timed (service-based). A question I am often asked is if there is a minimum amount of time I must spend providing an un-timed service. Typically, my answer is “no, but time does play a factor in the reimbursement amount”. What do I mean by that answer? In this article, I will answer the following questions:

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02/24/26

2027 New Speech Therapy CPT Code Descriptors Released

Beginning with dates of service on and after January 1, 2027, speech-language pathologists (SLPs) will have 10 new CPT codes to report for speech therapy services. The descriptors for each of the codes have been released. In this article, I will provide the descriptors for each of the codes as well as the proposed work relative value units (RVUs). Codes and Descriptors

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02/23/26

Remote Therapeutic Monitoring Gets Surprise Payment Increase from CMS

On October 31, 2025, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2026 Medicare Physician Fee Schedule (MPFS) final rule. At that time, we learned the payment rates for the allowed amount for each CPT code reimbursed under the MPFS. This includes outpatient physical, occupational, and speech therapy services including remote therapeutic monitoring (RTM). For practices and organizations that have implemented RTM, most monitor the musculoskeletal system. This would be CPT codes 98977 and 98985. CPT code 98985 is a new RTM code for 2026 to monitor the musculoskeletal system 2-15 days in a 30-day period

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02/16/26

Speech-Language Pathologists Get 10 New CPT Codes for 2027

Beginning with dates of service on and after January 1, 2027, speech-language pathologists (SLPs) will have 10 new CPT codes to report for speech therapy services. In this article, I will answer the following questions:

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02/09/26

UnitedHealthcare to Enforce Excludes 1 Diagnosis Guidelines

UnitedHealthcare has announced they will begin enforcing the application of Excludes 1 guidelines across all claim types to include outpatient and professional claim types. This will include outpatient therapy services. To learn about Excludes 1 and diagnosis coding, read this article. The effective date of UHC enforcing the application of Excludes 1 guidelines is

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