Reimbursement Rates For Speech Therapy
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FAQ
CPT Code 92507: Treatment of speech, language, voice, communication, and/or auditory processing disorder, Individual.
Reimbursement. ASHA's Medicare Fee Schedule for Speech-Language Pathologists is a helpful source that can guide SLPs on which CPT code to use and current reimbursement rates. The national fee for 2023 for CPT code 92507 is $75.38. For private insurance payors, reimbursement rates vary ing to specific plans.
The national fee for 2023 for the CPT code 92526 is $83.64. Reimbursement rates of private insurance payers vary ing to specific plans. Determining whether the client's insurance plan covers speech therapy (including sessions in which the CPT code 92526 is billed) for their specific diagnosis is important.
A superbill will contain information that your insurance company will need to process claims and provide you with reimbursement. A superbill should include company name, tax ID number, procedural code, diagnosis codes, dates of service and other pertinent session information.
How do you create a superbill? Your clinic's tax ID number (TIN) The patient's information (name, date of birth, phone number and address) The patient's diagnosis (i.e. ICD-10 codes) A specific and detailed list of services performed (CPT codes)