CPT code 92507 is undergoing major revisions for the first time in decades. The code was created 30 years ago, and Medicare’s valuation has remained unchanged for the past 16 years. Both the code and its valuation were originally developed through the same review process that we are watching unfold today. As a result of the unfolding changes, many in the speech-language pathology community are wondering what prompted the review, what the new codes may look like, and what happens next.

Note: Any changes to CPT code 92507 will not take effect until January 1, 2027.

 

Why Do CPT Codes Change?

CPT codes aren’t static. They’re maintained by the American Medical Association (AMA) CPT Editorial Panel, which has a mandate to ensure codes reflect real-world practice and are accurate and clinically meaningful. As technology, clinical models, and service delivery evolve, CPT codes evolve as well.

Why Was 92507 Flagged for a Review?

In April 2024, code 92507 was flagged for review because Medicare utilization more than doubled between 2017 and 2022. In conjunction with overutilization and unusual billing patterns, this triggered a flag for payers such as the Centers for Medicare and Medicaid Services (CMS).

Although the code descriptor does not explicitly specify time and 92507 is considered an untimed code, payer expectations and payment were established based on a 60-minute typical session. Although most speech‑language pathologists use the code appropriately, CMS and other payers identified trends that justified closer scrutiny. As a result, they expanded audits and implemented tighter reimbursement controls as part of routine efforts to ensure program integrity, appropriate valuation of services, and alignment with current clinical practice.

What Happened After 92507 Was Flagged?

Once identified for review, the AMA notified the national specialty society, the American Speech-Language-Hearing Association (ASHA). ASHA followed the established process to support its participation in the CPT review and valuation process for CPT code 92507 and proposed a new code structure to reflect today’s clinical practice. This included:

• Practicing SLPs and subject matter experts provided input to evaluate how services under 92507 are delivered today, reviewing practice patterns and assessing the relevant technologies, supplies, and equipment that are commonly used.
• Recommendations were made for a new code set to replace 92507.
• These were reviewed and approved by the AMA CPT Editorial Panel.

Note: Participation in the process requires individuals and organizations like ASHA to comply with the AMA proper communication and lobbying policy. Within this policy, participants must comply with confidentiality requirements. For example, ASHA cannot disclose new code structures, survey results, or valuation details.

What Happens Now That the New Codes Are Approved?

Once a code is approved, a valuation of the code needs to be determined. In October 2025, ASHA conducted a large survey of speech-language pathologists to collect data on underlying service time, intensity and complexity, mental effort, and risk. These data help determine the relative value units (RVUs) tied to each service. Data was presented to the AMA RVU Update Committee (RUC), and then the AMA RUC recommended values to the CMS. CMS will determine the final Medicare valuation for the code and release this information within its proposed Medicare Physician Fee Schedule (MPFS) rule, which is expected in the summer of 2026.

How Are CPT Code Values Determined?

Each CPT code’s payment is tied to a combination of:

• Work RVU (time, intensity, complexity, mental effort)
• Practice Expense (PE) RVU (equipment, supplies, clinical staffing)
• Malpractice RVU
• Conversion Factor

For example, CPT code 92507 is currently valued at 1.30 work RVUs based on a typical treatment time of 60 minutes. Although the code descriptor does not explicitly specify time and 92507 is considered an untimed code, payer expectations and payment were established based on a 60-minute typical session. Below are the valuation notes for CPT code 92507.

• Total Time: 60 minutes (5 minutes of pre-service time, 50 minutes of intra-service time, and 5 minutes of post-service time)
• Work RVU: 1.30
• Total RVU (non-facility): 2.28
• Current Medicare Payment: ~$76

What Information Has Been Released by the AMA About the New Code Set?

The AMA has released recommendations related to new and revised CPT codes and existing services identified by the RUC’s Relativity Assessment Workgroup and CMS.

Released documents are available on the AMA’s website. The relevant document located under the ‘CPT 2027’ sub-heading is titled “February 2026 recommendations (PDF).” Information regarding changes to CPT code 92507 are available on pages 2,836–2,967. Refer to this document for details on code descriptors, recommended RVU, and vignettes. Please Note: The download of the documents is subject to terms and conditions posted on the AMA site.

What Is Happening in March 2026? Is the AMA Accepting Comments?

The new code set has been approved by the AMA. A Code Change Application was submitted to the AMA, which will be reviewed at the April 30–May 2, 2026, CPT Editorial Panel Meeting. A Code Change Application is a formal request made to the AMA requesting to create new, delete, or revise CPT codes.

Based on the posted public agenda for the CPT Editorial Panel Meeting, the code change application requests that the AMA rescind both the newly approved code set scheduled to take effect in January 2027 and the planned deletion of code 92507.

To participate and/or have your perspective considered during the panel’s review, individuals need to register through the AMA as an Interested Party. If you apply to be an Interested Party, you will be required to sign confidentiality agreements and then follow a specific process to apply and comment. Only Interested Parties may submit written comments to the AMA before the meeting and/or provide verbal comments during the meeting. Registration for Interested Parties opened on March 6. Any comments from Interested Parties must be submitted by March 31.

CPT Editorial Panel Meeting Registration Link

How Will This Affect Practicing SLPs in Texas?

When CMS releases a final rule of the MPFS in late 2026, this will set the reimbursement rates for the CPT codes for Medicare services. Private payers and Medicaid then begin to set reimbursement rates for the new code set. Medicare often serves as a benchmark for other rates that are set.

The Texas Health and Human Services Commission (HHSC) will present proposed Medicaid rates for the new codes and then open a comment period. TSHA will monitor posted materials by HHSC and alert members when the proposed rates are available. HHSC typically offers time for public comment and testimony regarding the proposed rates.

Want More Information?

TSHA is hosting a webinar!

Cracking the Code: What’s Changing with CPT 92507 and How It Impacts SLPs
March 25, 2026, 7 - 8 p.m. CT
Speakers: 

• Lisa Milliken,  MA, CCC-SLP, FNAP, RAC-CT, CADDCT, TSHA StAMP
• Mendi Lancaster, MS, CCC-SLP, TSHA StAMP

Register Now

 

ASHA is also regularly updating their website with new information as it becomes available. 

ASHA Updates on CPT Code 92507