2027 Speech Therapy Codes
๐ง 2027 speech therapy codes
CPT 92507 ends December 31, 2026. Here's what replaces it, where the official sources are, and what to do before January 1.
The new codes
The single, untimed 92507 becomes five pairs of timed codes. Each pair has a base code for the first 30 minutes and an add-on code for each additional 15 minutes. CMS finalized the values for all ten codes in the 2027 Medicare Physician Fee Schedule final rule.
| Treatment category | Base code (first 30 min) | Add-on (each extra 15 min) |
|---|---|---|
| Fluency (stuttering, cluttering) | 92654 | +92655 |
| Speech sound production (articulation, phonological, apraxia, dysarthria) | 92656 | +92657 |
| Language comprehension and expression | 92658 | +92659 |
| Speech sound and language in the same session | 92660 | +92661 |
| Voice, upper airway, and/or resonance | 92662 | +92663 |
What else you need to know
Add-ons go with their own base code
Each add-on can only be billed with its matching base code. If you treat speech sound and language in one session, use the combined pair (92660/92661), not two separate base codes.
Your minutes matter now
Because the codes are timed, document how long you spent on treatment in every session. Units depend on it.
Telehealth
All ten codes are on Medicare's permanent telehealth services list for 2027.
Pediatric G-code
CMS also finalized a Medicare-specific G-code (G0903) for individual pediatric treatment. See the final rule for how to report it.
Same-day payment reductions
Medicare's multiple procedure payment reduction can apply to the base codes when billed with other therapy services on the same day. Add-on codes aren't expected to be reduced. Confirm with the final rule and your Medicare contractor.
Other payers set their own timelines
Medicaid and commercial plans decide when and how they adopt the new codes. Ask each payer you bill, in writing, how they'll handle January 1.
Get ready for January 1
- Update your EMR, superbill, and charge master: remove 92507 and add the ten new codes.
- Start recording treatment minutes in every session note.
- Set up a quick reference so you pick the right category, especially the combined speech sound and language pair.
- Ask your Medicaid program and commercial payers when they'll accept the new codes, and get the answer in writing.
- Check telehealth billing rules with each payer, not just Medicare.
- Watch your first few weeks of claims for denials, and fix patterns early.
Official sources
Primary documents
Listen and watch
The SPEAK Project
SLPs shared real-world reimbursement data, and the SPEAK Project took it to CMS and Congress while these codes were valued. Hear how it went.
How we got here
Timeline and background documents
- February 2026: The AMA RUC/HCPAC recommended values for the new code family. Abbreviated RUC document (PDF) ยท full RUC packet
- July 2026: CMS published the proposed rule, and SLPs submitted comments.
- November 2026: CMS finalized the values in the final rule.
- January 1, 2027: 92507 is deleted and the new codes take effect.
This page summarizes public sources as of November 2026 and isn't billing advice. Always confirm with the final rule, your payers, and your billing team. Updated November 2026.