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Speech Therapy Billing: Questions and Answers

It has been awhile since I have written an article focused on outpatient speech therapy and billing. So this week, I thought I would provide answers to some of the more common questions I receive about billing for speech therapy services. The answers I provide are based on what the Medicare Part B program allows and these answers may or may not be applicable to Medicare Advantage plans, Medicaid, managed Medicaid plans, private/commercial insurance carriers, workers compensation and automobile carriers. Here are the questions I will answer in this article: Can you be paid for CPT codes 92507 and 92526

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UnitedHealthcare Commercial Therapy Policies

UnitedHealthcare has revised the following 2 Coverage Determination Guidelines with an effective date of February 1, 2019: Speech Language Pathology Services Habilitative Services and Outpatient Rehabilitation Services In addition, UnitedHealthcare updated their Cognitive Rehabilitation Medical Policy with an effective date of November 1, 2018. To access the guidelines and medical policies, log into your Gold Member account and click

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UnitedHealthcare Updates Cognitive Therapy Policy

UnitedHealthcare Commercial has updated their medical policy for Cognitive Rehabilitation with an effective date of March 1, 2019. This updated medical policy impacts cognitive rehabilitation services provided by physical therapists, occupational therapists and speech-language pathologists. To access the updated medical policy, log into your Gold Member account and click

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