CPT 92507 Changes: What Missouri SLPs Need to Know

Updated August 26, 2026

Significant changes are coming to speech-language pathology treatment coding on January 1, 2027. MSHA is monitoring these changes and their potential impact on Missouri SLPs and the individuals we serve.

What Is Changing?

Beginning January 1, 2027, CPT 92507 will be deleted and replaced by 10 new timed CPT codes covering five treatment areas:

• Fluency disorders
• Speech sound production disorders
• Language comprehension and expression disorders
• Combined speech sound production and language disorders
• Voice, upper airway dysfunction, and/or resonance disorders

Each treatment area will have a base code for the initial 30 minutes of direct, one-on-one treatment and an add-on code for each additional 15 minutes.

This is a significant change from 92507, which is currently an untimed code. The new structure is designed to describe treatment more specifically and recognize differences in clinical service, treatment time, patient needs, and complexity. 

What does "timed" mean?

Under the general CPT midpoint rule, the 30-minute base code can be reported when at least 16 minutes of direct treatment are provided. Additional units are reported based on treatment time.

The exact requirements may vary by payer, so additional guidance will be important as we approach implementation.

Nothing changes yet. Continue using CPT 92507 through December 31, 2026.

What Has CMS Proposed?

CMS has released its proposed Medicare payment values for the new codes and has proposed accepting the RUC-recommended work values and direct practice expense inputs for all 10 codes.

Under the proposed Medicare structure, reimbursement will vary depending on both the type of treatment provided and treatment duration. Some treatment scenarios may result in higher payment than the current 92507 structure, while others may result in lower payment. ASHA cautions that comparisons should consider both the clinical service and treatment time rather than comparing the current 92507 payment with only a new 30-minute base code. 

These Medicare payment amounts are proposed and not yet final.

What Is GSLPP?

CMS has also proposed a separate Medicare-specific HCPCS code, GSLPP, for individual pediatric speech-language pathology treatment.

GSLPP is important to distinguish from the new CPT codes:

The 10 new timed codes are CPT codes. GSLPP is a separate CMS proposal and is not part of the new CPT code family.

As proposed, GSLPP would:

• Be a broad, untimed pediatric treatment code
• Be reported once per patient, per day
• Use the work and practice expense values associated with 92507
• Be valued based on 60 minutes of personally performed treatment
• Be subject to Medicare's Multiple Procedure Payment Reduction (MPPR)

The proposed national Medicare nonfacility payment is approximately $66.34.

Why is GSLPP receiving attention?

ASHA opposes the proposed GSLPP code.

ASHA's concerns include whether one broad, untimed code adequately represents contemporary pediatric practice, differences in treatment duration and complexity, and the resources and equipment required to provide pediatric services. GSLPP was also developed separately by CMS rather than through the CPT and RUC processes used to develop and value the new CPT code family. 

GSLPP is only a proposal at this time. It should not be assumed that this code will ultimately be finalized or adopted by other payers.

What Does This Mean for Missouri SLPs?

The January 1 change to the CPT code set affects the profession broadly, but implementation may look different depending on where you work and who pays for the services you provide.

Medicare is only one payer. State Medicaid programs, commercial insurance companies, Medicaid managed care organizations, TRICARE, and other payers make their own decisions about coverage, payment, and implementation. 

For many employed SLPs, your organization, billing department, school district, hospital, or facility will manage the billing changes.

However, the clinical component matters to every SLP. The new CPT structure places greater emphasis on accurately identifying the primary area of treatment and documenting direct treatment time.

MSHA will continue monitoring how Missouri Medicaid and other Missouri payers plan to respond to the new codes.

What Should SLPs Do Now?

You do not need to change how you bill or report services yet. CPT 92507 remains in effect through December 31, 2026.

For now:

• Become familiar with the five new treatment categories and the move from an untimed to a timed structure.
• Begin paying attention to the actual amount of direct treatment time you provide.
• Consider how frequently your sessions address speech, language, combined speech and language, fluency, or voice.
• Watch for guidance from your employer, billing department, payers, MSHA, and ASHA as implementation approaches.
• Share concerns or examples from your clinical setting with MSHA.

Practice owners, administrators, billing professionals, and others responsible for payer implementation will need to do additional preparation related to authorizations, reimbursement, documentation systems, payer policies, and billing workflows. ASHA has resources specifically addressing those implementation responsibilities. 

Take Action: MSHA Wants to Hear From Missouri SLPs

Your clinical experience matters.

MSHA would like to hear how you believe these changes could affect the patients, students, and families you serve.

We are particularly interested in concerns about:

• Typical treatment length and clinical complexity
• Providing more than one type of treatment during a session
• Pediatric treatment
• Shorter treatment sessions
• Access to care
• Documentation or workload
• Challenges unique to your practice setting or patient population

You do not need to be an expert in billing or reimbursement to provide useful feedback.

Contact Crystal Buehre, MS, CCC-SLP
MSHA Vice President for Legislative Affairs
vplegislation.msha@gmail.com

Comment Directly to CMS Through ASHA

CMS is currently accepting comments on the proposed 2027 Medicare Physician Fee Schedule, including the proposed GSLPP code.

ASHA has developed a comment tool with suggested points and guidance for SLPs who would like to participate in the federal comment process. 

ASHA 2027 Medicare Comment Tool

Before submitting comments about treatment time or intensity, please review ASHA's guidance. CMS may use stakeholder comments when considering the final valuation of GSLPP, and isolated estimates could unintentionally affect its value. 

Stay Informed

ASHA's resource hub provides detailed information about the new codes and will continue to be updated as official CPT code numbers, final Medicare policies, coding edits, telehealth guidance, and payer implementation information become available. 

ASHA: New Speech-Language Pathology Treatment Codes Replacing 92507

MSHA will continue monitoring these changes and providing Missouri-specific updates as we move toward January 1, 2027.

Updated August 24, 2026

Major changes to speech-language pathology coding and Medicare payment are being considered for 2027, and SLPs have an opportunity to provide input before the policies are finalized.

One change we already know is coming: CPT 92507 will be deleted effective January 1, 2027 and replaced by a new family of 10 timed CPT codes. CMS is also considering additional policies that could affect SLP reimbursement, coding, telehealth, and service delivery.

 Two important deadlines:

September 10 — Sign ASHA’s SLP petition to CMS. The petition asks CMS to:
• Reject the proposed pediatric G-code (GSLPP)
• Include the new SLP treatment codes on the Medicare telehealth services list
• Provide a separate, transparent analysis of the financial impact on SLP services

September 14 — Deadline to submit your own public comment to CMS.

Individual comments can be valuable, but we encourage SLPs to become informed about the proposals before submitting a comment. These changes are complex, and not every proposal will affect every clinician or practice in the same way.

Over the next several weeks, MSHA Legislative Affairs will be sharing information to help Missouri SLPs understand what is changing, what is still being decided, and how these proposals could affect clinical practice and patient access.

If you are considering submitting an individual CMS comment and have questions, please reach out to MSHA Legislative Affairs at vplegislation.msha@gmail.com.