A question I receive is can speech-language pathologists (SLP’s) bill CPT codes 97110 (therapeutic exercise), 97112 (neuromuscular reeducation) and 97530 (therapeutic activities) instead of CPT codes 92507 (treatment of speech, language, voice, communication, and/or auditory processing; individual), 92508 (treatment of speech, language, voice, communication, and/or auditory processing; group) and/or 92526 (treatment of swallowing dysfunction and/or oral function for feeding)?
According to the National Correct Coding Initiative (NCCI)
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Could the SLP not add the modifier 59 to indicate that they are providing 2 separate and distinct services, performed at different times during the treatment session? I know we have done this with other edits.
I.E. A patient who had a stroke with Aphasia at the first 30 minutes of the session the SLP works on word finding exercises to assist with the patient speech and language issues (92507)and during the last 30 minutes of the session the SLP would work on memory problem solving issues for cognitive deficits (97127). Thanks for any clarification you can give.