Featured members

Upcoming events

Menu
Log in

Missouri Speech-Language-Hearing Association

Log in

92507 Updates

Update on CPT® Code 92507: Timeline, Process, and Approved Code Structure

MSHA continues to monitor the review process related to CPT® code 92507 and associated new codes. The information below reflects publicly available updates regarding the CPT Editorial Panel process and upcoming opportunities for member engagement.

Phase 1: Background and Initial Review

April 2024

CPT® code 92507 was identified for review through the standard CPT process. The American Medical Association (AMA) owns and maintains CPT codes and periodically reviews them to ensure they reflect current clinical practice.

July 2025

The CPT Editorial Panel meeting agenda was published, and CPT® 92507 was included for discussion as part of a broader review of code structure. A public comment period was opened to allow interested parties to submit feedback.

August 2025

ASHA provided updates indicating that CPT® 92507 was not being deleted, replaced, or changed at that time. The CPT Editorial Panel also extended the public comment deadline.

January 28, 2026

ASHA published an additional update noting that CPT® 92507 is currently undergoing valuation review.

February 2026

In February 2026, updates were released regarding the review and valuation of speech-language pathology CPT® codes. Recommendations from the AMA Relative Value Scale Update Committee (RUC) related to new and revised codes were submitted to the Centers for Medicare & Medicaid Services (CMS) for consideration in the Medicare Physician Fee Schedule proposed rule expected in summer 2026. Final relative value determinations will be made by CMS in November 2026, and the CPT® 2027 code set will be published in September 2026.

It was also confirmed that a new Code Change Application has been submitted for review at the April 30–May 2, 2026 CPT Editorial Panel meeting. Individuals and organizations interested in providing input may participate through the formal AMA process once the meeting agenda and materials are released on March 6, 2026.

Phase 2: Current and Upcoming Timeline

March 6, 2026 – Agenda Release

The next CPT Editorial Panel meeting agenda has been published. This outlines new applications or proposed revisions under consideration.

Clinicians and other interested parties can now:

  • Register as an Interested Party

  • Submit written comments tied to specific proposals

  • Provide feedback that becomes part of the official deliberation materials

March 31, 2026 – Comment Deadline

Written comments must be submitted by this date. All submitted comments are reviewed and distributed to CPT Editorial Panel members in advance to help inform discussion.

Phase 3: CPT Editorial Panel Meeting

April 30 – May 2, 2026

The AMA CPT® Editorial Panel will meet in person in Boston, MA, with a live streaming option available. The Panel will hear remarks related to a new application that may alter or revise the recently approved code structure.

During the meeting:

  • Applicants present proposals

  • Specialty societies may provide input

  • The Panel deliberates and votes on any proposed revisions

Observers may attend but generally do not speak unless participating through the formal Interested Party process.

May 15, 2026

The AMA will publish a summary of panel actions outlining decisions and future steps.

Phase 4: Understanding the Role of the CPT Editorial Panel

The CPT Editorial Panel evaluates the structure and definitions of CPT codes, not reimbursement or payment rates. Those factors are addressed later through the RUC and payer processes.

The Panel focuses on whether codes:

  • Accurately reflect current clinical practice

  • Clearly describe services

  • Avoid duplication or inappropriate bundling

  • Represent distinct and reportable services

  • Support consistent documentation

  • Align with current standards of care

Phase 5: How to Attend the AMA CPT® Editorial Panel Meeting

The CPT Editorial Panel meets three times per year and meetings are open to registered stakeholders.

Step 1: Watch for the Agenda

The public agenda became available on March 6, 2026. This triggered a registration and comment submission period until March 31, 2026.

Step 2: Register to Attend

All attendees must register. The meeting is hybrid:

  • In-person in Boston

  • Virtual live streaming

Step 3: Become an Interested Party (Optional)

This allows you to:

  • Review application materials

  • Submit formal written comments

  • Participate in the process

Step 4: Submit Written Comments

Deadline: March 31, 2026. These comments are distributed to Panel members before the meeting.

Step 5: Attend the Meeting

Observers may attend. Formal participation requires Interested Party status.

Step 6: Review Panel Actions

A summary will be published May 15, 2026.

Phase 6: Recently Approved Code Structure (For Informational Purposes)

The following code structure has been approved through the CPT process. However, future revisions may occur depending on ongoing review and stakeholder input.

CPT Code

Descriptor

RUC Recommended RVUs

92X0X

Fluency treatment; initial 30 minutes

0.92

92X1X

Each additional 15 minutes

0.44

92X2X

Speech sound production; initial 30 minutes

0.90

92X3X

Each additional 15 minutes

0.44

92X4X

Language treatment; initial 30 minutes

1.00

92X5X

Each additional 15 minutes

0.48

92X6X

Speech sound + language; initial 30 minutes

1.00

92X7X

Each additional 15 minutes

0.50

92X8X

Voice, resonance, upper airway; initial 30 minutes

0.98

92X9X

Each additional 15 minutes

0.48

Additional coding guidance and restrictions related to these codes have also been proposed.

Phase 7: Midpoint Rule for Timed Codes (Proposed Base Codes)

If timed CPT® codes are implemented, the midpoint rule would apply to determine when the base 30-minute service can be billed.

For a 30-minute base code:

  • At least 16 minutes of direct, one-on-one treatment must be provided.

  • If fewer than 16 minutes are delivered, the base code would generally not be reportable.

For each additional 15-minute code:

  • The midpoint is typically reached at 8 minutes.

  • Additional units are reported only after the midpoint of each time increment has been met.

Example Time Thresholds

Total Direct Treatment Time

Reportable Units

1–15 minutes

Not reportable

16–37 minutes

One base code

38–52 minutes

Base code + one add-on

53–67 minutes

Base code + two add-ons

Key Points for SLPs and Clinic Owners

  • This phase focuses on how services are defined and structured, not reimbursement.

  • Payment and valuation occur later through the RUC and CMS processes.

  • Participation at this stage can influence:

    • Documentation requirements

    • Coding structure

    • Future reimbursement

    • Scope and reporting of services

What MSHA Members Can Do Now

  • Continue billing CPT® 92507 according to current payer guidance.

  • Maintain thorough and accurate documentation.

  • Monitor updates from MSHA and professional organizations.

  • Prepare to provide feedback once the agenda is released.

MSHA will continue to share verified information and guidance as new details become publicly available.

Sources: American Medical Association (AMA), American Speech-Language-Hearing Association (ASHA)

Powered by Wild Apricot Membership Software