AdministrativeCommercialOctober 1, 2024

Revision to speech therapy code reimbursement changes effective October 1, 2024

In alignment with industry standards, Anthem Blue Cross and Blue Shield in Connecticut periodically reviews and updates our reimbursement rates for all care providers, including speech therapists. This ensures we continue to provide access to high-quality, affordable healthcare for our members. Rate adjustments are made after a thorough review of the impact of rate changes on the consumers we serve and competitive benchmarking.

After further evaluation of speech therapy coding, we will continue to reimburse speech therapists at a fee-for-service rate instead of the proposed October 1, 2024 rate change we previously communicated to providers. Therefore, the below codes will continue to reimburse on a fee for service basis and will no longer be included in the October 1, 2024 Per Diem methodology.

CPT Code Description
92507 Speech/hearing therapy
92508 Speech/hearing therapy
92520 Laryngeal function studies
92521 Evaluation of speech fluency
92522 Evaluate speech production
92523 Speech sound lang comprehen
92524 Behavioral quality analysis voice
92526 Oral function therapy
92597 Oral speech device eval
92605 Ex for nonspeech device rx
92606 Non-speech device service
92607 Ex for speech device rx 1hr
92608 Ex for speech device rx addl
92609 Use of speech device service
92610 Evaluate swallowing function
92611 Motion fluoroscopy/swallow
92612 Endoscopy swallow (fees) vid
92614 Laryngoscopic sensory vid
92616 Fees w/laryngeal sense test
92618 Ex for nonspeech dev rx add
S9128 Speech therapy, in the home,
S9152 Speech therapy, re-eval
V5362 Speech screening
V5363 Language screening
G0153 ST in home health setting
G0161 ST in home health setting

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CTBCBS-CM-070306-24