CommercialOctober 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 |
Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans, Inc. Independent licensee of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.
CTBCBS-CM-070306-24
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