A question I often receive is how much time of a time-based CPT code must I provide in order to bill that CPT code to a private insurance carrier that does not follow Medicare’s “8-minute rule” for billing purposes? The majority of CPT codes billed by physical and occupational therapy that are time-based are timed in 15-minute increments. Speech-language pathologists (SLPs) have very few time-based CPT codes. SLPs do have 4 CPT codes that are timed in 1-hour increments, 1 that is a 30-minute code (92608) and one that is a 15-minute time-based code (92627). This is not an all inclusive list of time-based CPT codes that are applicable to SLPs.
So lets answer the question. In order to bill a time-based CPT code to an insurance carrier that does not follow Medicare’s “8-minute rule”, the provider must spend
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This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.