Your First Look at the 2027 New Speech Therapy CPT Codes

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Promotional graphic for the online course " Mastering 2026 CPT Coding & Billing for Speech Therapy" presented by Rick Gawenda. Includes date and time: January 22, 2026, from 1:00 to 2:30 PM ET.

This 1.5-hour online course will teach SLPs how to report the correct CPT code(s), including the 10 new CPT codes, based on interventions provided and documentation in the medical record. In addition, the course will provide case scenarios to teach participants how to bill correctly to the Medicare program, Medicaid, and commercial insurance carriers.

2027 CPT Coding and Billing for Speech Therapy Services

Rick GawendaLeave a Comment

Promotional graphic for the online course " Mastering 2026 CPT Coding & Billing for Speech Therapy" presented by Rick Gawenda. Includes date and time: January 22, 2026, from 1:00 to 2:30 PM ET.

This 1.5-hour online course will teach SLPs how to report the correct CPT code(s), including the 10 new CPT codes, based on interventions provided and documentation in the medical record. In addition, the course will provide case scenarios to teach participants how to bill correctly to the Medicare program, Medicaid, and commercial insurance carriers.

Medicare Enrollment Date, Effective Date and Retrospective Billing Date

In the private practice setting, a therapist must enroll in the Medicare program in order to provide and be reimbursed for outpatient therapy services that are covered by the Medicare program. The application can be completed on paper or online using the Medicare Provider Enrollment, Chain, and Ownership System (PECOS). Once the therapists application has been approved by their Medicare Administrative Contractor, there are 3 dates they need to know. They are the: But what do all these dates mean and when can the therapist begin treating Medicare beneficiaries? In this article, I will answer the following questions:

Aetna Frequently Asked Questions and Answers

If you have read one commercial insurer’s therapy policies, you have read one commercial insurer’s therapy policies. That is why I have created an extensive frequently asked questions (FAQs) page dedicated to Aetna and outpatient therapy. This Aetna FAQ page will provide you answers to some of the most common questions I receive regarding Aetna and outpatient therapy services. Questions answered include, but are not limited to: To read the answers to the above questions, click HERE.

8 Minute Rule Frequently Asked Questions and Answers

Medicare’s 8-minute rule remains very confusing not only for therapists and assistants, but also for billers, practice managers, owners of private practices, and facility directors and administrators. That is why I have created an extensive frequently asked questions (FAQs) page dedicated to the 8-minute rule. This 8-minute rule FAQ page will provide you answers to some of the most common questions I receive regarding this topic. Questions answered include, but are not limited to: To read the answers to the above questions, click HERE.

NCCI Edits Version 32.1 in Effect April 1, 2026

The National Correct Coding Initiative (NCCI) Edits Version 32.1 are in effect for dates of service April 1, 2026– June 30, 2026. NCCI edits are used in all outpatient therapy settings for original Medicare and Medicaid beneficiaries. In addition, some Medicare Advantage plans, commercial insurers, and workers compensation programs also utilize the NCCI edits. Gawenda Seminars & Consulting has created a NCCI Edit therapy specific reference sheet for both Medicare and Medicaid. These reference sheets will inform providers when modifier 59 is required on a CPT code on the claim form. In addition, the reference sheet will inform providers what combination of … Read More

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:

2027 CPT Coding and Billing for Physical and Occupational Therapy

Rick GawendaLeave a Comment

Promotional banner for the 2026 CPT Coding & Billing Essentials for Physical & Occupational Therapy online course with Rick Gawenda. Includes date and time: January 15, 2026, from 1:00 to 3:30 PM ET

This 2.5-hour online course will teach participants what CPT code to bill dependent upon their intent and documentation in the medical record. The course will provide case scenarios to teach participants how to bill correctly to the Medicare program as well as non-Medicare insurance carriers.