Speech Language ICD and CPT Codes
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Speech Language ICD and CPT Codes – Need ICD and CPT Code Resources? This speech therapy blog is here to help you!
Speech-language pathologists (SLPs) and parents of children with communication disorders require a thorough understanding of the International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) codes that are associated with speech-language pathology services. These codes are necessary to understand in order to accurately and effectively document and bill for speech-language services. In this blog post, we will discuss the importance of ICD and CPT codes for SLPs and parents and how they are used to ensure effective communication and reimbursement for services.
Adding Speech, Language, and Hearing Benefits to Your Policy: Speech-language therapy is a medical necessity when there is a significant speech-language delay. Tell your employers to check this page out to get the answers they need about adding valuable speech, language, and hearing benefits to your current insurance policy.
Importance of ICD and CPT codes for SLPs
Speech-language pathologists (SLPs) provide vital services to those with communication and feeding disorders. With the help of ICD and CPT codes, SLPs are able to accurately and efficiently document their services and ensure that their patients receive the proper care and compensation for treatments.
 How ICD and CPT codes can help parents
Understanding and utilizing ICD and CPT codes can be daunting for parents, especially those who do not have a medical background. As a parent, it’s important to understand the basics of these codes so that you can be an informed participant in your child’s care and ensure that their healthcare needs are being properly documented.
ICD-10 codes are the diagnostic codes, e.g. expressive language disorder or speech sound disorder, and must come from a written evaluation. ICD-10 codes can come from a licensed therapist or a medical provider, e.g. psychologist, neurologist, speech language therapist, etc. Ask your insurance company for their New York state medical coverage policy for speech language therapy (it will contain a description of their policy and list of ICD-10 codes that are and are not covered for speech language therapy). Speech-language therapy is a medical necessity when there is a significant speech-language delay.
Free Speech-Language Evaluations and Services (to Those Who Qualify)
- Early Intervention NYC (birth-3)
- Preschool (CPSE)
- School Age (CSE) and RSA’s
Insurance
In-network: request a list of in-network providers from your insurance company and contact them directly.
Out-of-network: certain health plans may provide coverage for out-of-network providers, enabling individuals to access services from private providers. This may include reimbursement of part or all of the cost associated with out-of-network treatment once your deductible is met. It is important to note that out-of-network coverage is typically only available with preferred provider organization (PPO) plans. Brooklyn Letters provides Superbills for speech-language therapy services. ICD and CPT codes must be furnished from an up-to-date evaluation by a licensed therapist or medical doctor. Brooklyn Letters can’t furnish ICD and CPT codes without an updated assessment.
HSA/FSA
We strongly advise that you contact the administrator of your HSA or FSA and a tax and financial advisor to confirm if speech therapy is covered.
Importance of ICD and CPT codes for SLPs
Speech-language pathologists (SLPs) provide vital services to those with communication and swallowing disorders. With the help of ICD and CPT codes, SLPs are able to accurately and efficiently document their services and ensure that their patients receive the proper care and compensation for treatments.
 How ICD and CPT codes can help parents
Understanding and utilizing ICD and CPT codes can be daunting for parents, especially those who do not have a medical background. As a parent, it’s important to understand the basics of these codes so that you can be an informed participant in your child’s care and ensure that their healthcare needs are being properly documented.
ICD-10 codes are the diagnostic codes, e.g. expressive language disorder or speech sound disorder, and must come from a written evaluation. ICD-10 codes can come from a licensed therapist or a medical provider, e.g. psychologist, neurologist, speech language therapist, etc. Ask your insurance company for their New York state medical coverage policy for speech language therapy (it will contain a description of their policy and list of ICD-10 codes that are and are not covered for speech language therapy). Speech-language therapy is a medical necessity when there is a significant speech-language delay.
Free Speech-Language Evaluations and Services (to Those Who Qualify)
- Early Intervention NYC (birth-3)
- Preschool (CPSE)
- School Age (CSE) and RSA’s
Insurance
In-network: request a list of in-network providers from your insurance company and contact them directly.
Out-of-network: certain health plans may provide coverage for out-of-network providers, enabling individuals to access services from private providers. This may include reimbursement of part or all of the cost associated with out-of-network treatment once your deductible is met. It is important to note that out-of-network coverage is typically only available with preferred provider organization (PPO) plans. Brooklyn Letters provides Superbills for speech-language therapy services. ICD and CPT codes must be furnished from an up-to-date evaluation by a licensed therapist or medical doctor. Brooklyn Letters can’t furnish ICD and CPT codes without an updated assessment.
HSA/FSA
We strongly advise that you contact the administrator of your HSA or FSA and a tax and financial advisor to confirm if speech therapy is covered.
CPT Codes for Speech-Language Pathology
92507: One-on-One Speech-Language Therapy
92508: Group Speech-Language Therapy
95: is a modifier for telepractice, and the CPT code, e.g. 92507 or 92508 stays the same. CPT 95 is for reporting telepractice-related services e.g. synchronous telemedicine service rendered via real-time interactive audio and video telecommunication systems.
*If insurance asks for a place code it’s (POS) 12 for home-based services and (POS) 11 for office-based services
*POS code 02 should continue to be used when telehealth is provided anywhere other than a patient’s home.
*More CPT coding information from the American Speech Hearing Association.
Evaluations
92521: Evaluation of Speech Fluency
92522: Evaluation of Speech Sound Production
92523: Evaluation of Language Expression and Comprehension and Speech Sound Production
92524: Behavioral and Qualitative Analysis of Voice and Resonance
ICD-10 Codes
Autism
F84.0: Autism Spectrum
Language
F80.1: Expressive Language Disorder
F80.2: Mixed Expressive Receptive Language Disorder & Social Communication Disorder
F80.9: Language Disorder/Developmental Disorder of Speech and Language
F80.82: Social Pragmatic Communication Disorder
F80.89: Other Developmental Disorders of Speech and Language
R48.8: Language Deficits Related to an Organic or Medical Condition. Other Symbolic Dysfunctions, such as Auditory Processing Disorder, cognitive language disorders, and executive function impairment due to organic or neurological conditions.
Learning
315.2 Unspecified Specific Learning Disorder
F81.0 Specific Reading Disorder/Specific Learning Disability with Specific Impairment in Reading Comprehension
F81.1 Specific Impairments in Written Expression: Spelling, Clarity and Organization of Written Expression
*Please note that each State defines the definition of Learning Disorders and Language Disorders. The State’s definition might not be in accordance with the definition defined by the American Speech Hearing Association (ASHA).
Speech
F80.0: Phonology/Articulation Disorder
R47.1: Dysarthria and Anarthria
R48.2: Apraxia
(If your child has a diagnosis of apraxia of speech etc. from a neurologist, here’s more info. on insurance reimbursement)
*There is no specific code for oral motor related issues.
Fluency
F80.81: Childhood-Onset Fluency Disorder
Hearing Loss
F80.4: Speech and Language Development Delay due to Hearing Loss
Central Auditory Processing Disorder
H93.25 and additional codes
Feeding
R63.3:Â Feeding Difficulties
92526:Â Feeding Therapy
R13.10:Â dysphagia, unspecified
R13.11:Â Oral Phase Dysphagia
R13.12:Â Oropharyngeal Phase Dysphagia
92610Â (Feeding/Swallow Evaluation)
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Craig Selinger
MEET OUR BROOKLYN SPEECH LANGUAGE PATHOLOGIST WHO TRAVEL TO YOUR HOME
Cathy E.
M.S. CCC-SLP, SPEECH LANGUAGE PATHOLOGIST
Cathryn
New York State licensed SLP and certified TSSLD
Andrea S.
M.A., CCC-SLP, SPEECH LANGUAGE PATHOLOGIST
DR. Michelle M.
PHD CCC-SLP, TSHH, SPEECH LANGUAGE PATHOLOGIST
Kristin
New York State bilingual (Spanish/ English) licensed SLP and certified TSSLD
Briana I.
M.A., CCC-SLP, TSSLD
Marcy G.
M.S., CCC-SLP, TSSLD, SPEECH-LANGUAGE PATHOLOGIST
Amanda
M.S., CCC-SLP, TSSLD, SPEECH-LANGUAGE PATHOLOGIST
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