FAQ – SLP Billing & Payment

Question – Posted December 20, 2014

I see CPT code 92520 (Laryngeal Function Studies) requires two types of testing, aerodynamic testing and acoustic testing. What is the difference between the 2 tests and what do I bill if I only perform one test and not the both?

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Question – Posted December 20, 2014

What CPT code should a speech language pathologist (SLP) use for a re-evaluation?

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Question – Posted May 10, 2014

How can you tell when Medicare has received your claim?

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Question – Posted March 27, 2014

Does Medicare reimburse for 96105 or 96125 when performed by a speech pathologist?

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Question – Posted January 9, 2014

If I only did an evaluation of language comprehension and expression, can I still bill CPT code 92523?

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Question – Posted January 9, 2014

Can a SLP bill 92522 and 92523 on the same day?

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Question – Posted January 9, 2014

What is the difference between CPT code 92522 and 92523? How do I determine which CPT code to bill?

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Question – Posted January 9, 2014

Under CPT code 92521 (Evaluation of speech fluency), what is the difference between stuttering and cluttering?

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Question – Posted January 9, 2014

Since January 1, 2014, when I bill CPT code 92506 (Evaluation of speech, language, voice, communication or auditory processing) on the claim form, I am not being reimbursed for that CPT code. The insurance carrier states this is not a valid CPT code? Did I miss something?

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Question – Posted November 29, 2013

Can a claim for 97110 with modifier GN attached when paid by commercial insurances be counted as “speech therapy” session as opposed to an “occupational therapy” session if a SLP performs it in the same session with 92507?

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Question – Posted October 18, 2013

Will the Medicare program reimburse for multiple evaluations during the same episode of care? What about non-Medicare payor’s?

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Question – Posted October 18, 2013

What CPT code should a speech language pathologist (SLP) use for a re-evaluation?

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Question – Posted October 18, 2013

When would I bill CPT code 92626 (Evaluation of auditory rehabilitation status; first hour) instead of CPT code 92506 (Evaluation of speech, language, voice, communication and/or auditory processing?

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Question – Posted October 18, 2013

What is the difference between CPT codes 92630 and 92633?

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Question – Posted October 18, 2013

Under Medicare Part B, can SLP’s perform an evaluation and treatment on the same day and be reimbursed for both?

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Question

Has anyone seen any clarification from Medicare on how to handle the situation where you are certifying the plan of care in the outpatient setting and the plan of care document is returned to you without being dated?

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2012-06-23 05:06 AM

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What CPT code do I bill for the therapeutic service(s) for the use of non-speech generating device, including programming and modification?

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2012-06-23 04:06 AM

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Under what CPT code do I bill for an evaluation for a prescription for a non-speech generating communication device?

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2012-06-23 04:06 AM

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Is a speech-language assistant considered a qualified provider of Medicare Part B therapy services?

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2012-06-23 04:06 AM

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What is the difference between a speech-generating device and a non-speech generating device?

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2012-06-02 03:06 PM

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Does the Medicare Part B program reimburse for 92507 (treatment of speech, language, voice communication, and auditory processing disorder) on the same day you bill 97532 (development of cognitive skills)?

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2012-06-02 03:06 PM

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Can a SLP bill 97532 for cognitive training under the Medicare Part B program?

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2012-04-01 02:04 PM

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How long is a physician order/prescription valid for?

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2012-04-01 02:04 PM

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Can a speech-language pathologist evaluate and treat a patient referred by an out of state physician or non-physician practitioner (NPP)?

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2012-04-01 02:04 PM

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Does the Medicare program and private insurances reimburse 97110 (therapeutic exercise) and 97112 (neuromuscular re-education) if billed by a SLP?

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2012-04-01 02:04 PM

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How do SLP’s bill for VitalStim therapy? Does Medicare and other insurance carriers reimburse for VitalStim?

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2012-04-01 02:04 PM

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What time counts towards the ?per hour? for CPT code 96125 (standardized cognitive performance testing)?

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2012-04-01 02:04 PM

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Which disciplines can bill CPT code 96125 (standardized cognitive performance testing) to an insurance carrier?

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2012-04-01 02:04 PM

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Does the Medicare program reimburse for 92507 and 92526 on the same day? What about non-Medicare payor’s?

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