CPT 92507 Ends in 2027: The New SLP Treatment Codes

Yes. CPT code 92507, the single code for individual speech-language treatment, is deleted effective January 1, 2027 and replaced with ten new codes, 92654 through 92663, built on a 30-minute base plus 15-minute add-on structure. Under the CPT convention governing the new family, a clinician can typically report a base code after 16 minutes of the described service. CMS has proposed national, unadjusted payment values across the family from roughly $23 to $72 per code, and every dollar figure here is proposed, not final.

The change traces to the AMA’s CPT Editorial Panel, which “accepted addition of code 92X0X-92X9X for reporting speech treatment; revision of code 92508; revision of guidelines to reflect code changes; and deletion of code 92507” at its September 2025 meeting (AMA Summary of Panel Actions, September 2025). AMA released the finalized CPT 2027 code set on September 9, 2026 (AMA press release). CMS describes the change in the CY 2027 Physician Fee Schedule proposed rule (91 FR 43841, CMS-1848-P), which used placeholder numbers (92X0X-92X9X). Final code numbers, descriptors, and a reporting time table come from ASHA, the specialty society summarizing the change for members (ASHA, new codes page).

This guide covers the code structure, Medicare’s proposed payment per code, a 30/45/60-minute session comparison against 92507 today, the proposed pediatric G-code, and open questions on the 8-minute rule, the KX threshold, MPPR, telehealth, and NCCI edits. The CY 2027 final rule is expected around November 1, 2026, and every figure below will be refreshed once it posts. Current as of September 2026.

Is CPT 92507 going away?

CPT 92507 was flagged for revaluation because Medicare utilization “increased by more than 100% between 2017 and 2022,” meeting “one of the AMA’s and CMS’ standard criteria to flag a code for review” through the high-volume growth screen (ASHA, July 14, 2026). The code was valued at 1.30 work RVUs based on a typical treatment time of 60 minutes, paid the same regardless of actual visit length. ASHA surveyed members in October 2025 for a RUC Health Care Professionals Advisory Committee (HCPAC) review, and CMS confirms the family “was surveyed for the January 2026 RUC HCPAC Review Board meeting” (91 FR 43885-43886). The CPT Editorial Panel accepted deleting 92507 and adding ten time-based codes, plus revising the group code 92508, in September 2025. ASHA states “CPT code 92507 remains in effect through December 31, 2026,” so nothing changes for this year’s dates of service.

The ten new speech therapy codes for 2027

Each new code targets one clinical category (fluency, speech sound production, language comprehension and expression, combined speech sound and language, or voice/upper airway/resonance) as a base code for the initial 30 minutes plus its own add-on for each additional 15 minutes. Descriptors are from CMS’s proposed rule; final numbers are ASHA’s.

(Descriptors: 91 FR 43885-43886. Mapping and notes: ASHA new codes page.)

An add-on must always be reported with its own base code, and the same minutes can’t count toward both. ASHA also directs clinicians to “not report the separate speech sound production and language codes together”: when both are treated in one session, use combined codes 92660/92661 instead. More than one code from the family may be reported the same day when each service is distinct, medically necessary, and independently meets its own time requirement.

How many minutes do you need to bill 92654 or 92655?

ASHA describes the family under the CPT midpoint convention rather than Medicare’s 8-minute rule for 15-minute codes: clinicians may “typically report the base code after they provide 16 minutes,” and “the first add-on unit after they provide the full 30-minute base period plus at least eight additional minutes.” The base period must be completed before any add-on minutes count, and minutes can never apply to both.

(Source: ASHA new codes page; midpoint convention generally: ASHA, “Understanding Timed and Untimed CPT Codes”.) “CPT instructions, CMS rules, and payer policies may establish different requirements,” and documentation should identify the service and the direct treatment time per code. State Medicaid programs and commercial plans may adopt the codes on different timelines, and some payers may keep recognizing 92507 until their systems update.

What Medicare proposes to pay for 92654 to 92663

CMS proposes “the RUC-recommended work RVU for all 11 codes in the family,” with the RUC-recommended direct practice expense (PE) inputs unrefined (91 FR 43886). Total non-facility RVU (work + PE + malpractice) times the proposed CY 2027 nonqualifying APM conversion factor of $32.8409 (down from $33.4009 in CY 2026, a projected 1.68 percent decrease) gives a national, unadjusted illustration, not a CMS-published amount.

(Proposed RVUs and conversion factor: Addendum B, CY 2027 PFS proposed rule, updated July 21, 2026; conversion factor: 91 FR 44241. See also our CY 2027 fee schedule overview.) These are our arithmetic, not CMS’s figures. ASHA’s own September 16, 2026 summary lists nine of ten codes at these values but shows 92654 at $54.55, while 1.60 x $32.8409 works out to $52.55 (ASHA); treat both as provisional until the final rule settles it.

92507 today computes to $76.15 nationally (total RVU 2.28 x $33.4009, CY 2026 Addendum B), paid the same at 20 minutes or 75. The revised 92508 is proposed to drop from a total RVU of 0.72 (work 0.33) to 0.60 (work 0.28).

What a 30, 45, and 60-minute session pays under the new codes

Using a language session (92658/92659), national, unadjusted, before any same-day MPPR:

A 60-minute session differs by category:

Every 60-minute CPT stack computes to more than 92507 pays today; GSLPP computes to less.

The proposed pediatric G-code GSLPP

CMS proposes HCPCS code GSLPP after hearing that the ten new codes “do not accurately capture the time and intensity of work as it relates to pediatric patients” (91 FR 43886). GSLPP: “treatment of speech, language, voice, communication, and/or auditory processing disorder; individual; for the pediatric population up to age 21,” reported by an SLP, “billed only once per patient per day.” The same rule’s telehealth section describes it as covering patients “up to age 18 or 21” (91 FR 43863), an inconsistency with the valuation section’s “up to age 21” (91 FR 43886) that the final rule should resolve.

GSLPP would carry a proposed work RVU of 1.30, “the assigned work for 60 minutes of CPT code 92507,” with “a work time of 60 minutes… personally performed by the billing practitioner,” and 92507’s PE inputs. CMS proposes always therapy status and MPPR subjection for GSLPP, and is “seeking comment on the typical time and intensity.” All proposed.

ASHA “is carefully evaluating the proposal because it may create uncertainty regarding: when clinicians should report the G code versus the CPT codes; the proposed 60-minute billing requirement; administrative burden for clinicians and payers; and whether Medicaid programs and commercial insurers may adopt the G code” (ASHA, Sept. 16, 2026).

Does the 8-minute rule apply to the new SLP codes?

Not clearly. Medicare’s 8-minute rule (Pub. 100-04, Ch. 5, §20.2.C) is written “for any single timed CPT code in the same day measured in 15 minute units”: one unit for 8 to 22 minutes, two for 23 to 37, and so on (Medicare Claims Processing Manual, Ch. 5). The new family is a 30-minute base plus 15-minute add-ons, and as of September 2026 the manual has no instruction for that structure and CMS’s proposed rule is silent on unit counting for it.

Medicare’s 15-minute chart and ASHA’s CPT table agree at the higher totals (38-52, 53-67, 68-82 minutes) but diverge at the low end: Medicare’s chart allows a 15-minute code’s first unit at 8 minutes, while the CPT base code needs 16 minutes. Documentation still has to support total timed minutes furnished (per Pub. 100-02, Ch. 15, §220.3B). Until CMS publishes counting guidance for this structure, document total direct treatment time precisely, apply the published CPT midpoint convention, and watch for a transmittal before assuming Medicare counts differently. See our Medicare 8-minute rule guide.

GN modifier, always therapy, and the KX threshold

SLP claims require GN on every line, distinct from GO (OT) and GP (PT) (Medicare Claims Processing Manual, Ch. 5, §20-20.1). 92507, 92508, and 92526 already carry “always therapy” status (disposition 5) in the CY 2026 Therapy Code List and Dispositions from CMS’s annual therapy update page; CMS proposes the same status for all ten new codes, so GN belongs on every line for the new family too (91 FR 43886).

CMS proposes a CY 2027 KX threshold of $2,540 for PT and SLP combined (up from $2,480 in CY 2026), a separate $2,540 OT threshold, and a $3,000 targeted medical review threshold for PT/SLP combined (91 FR 43946-43947). CMS tracks accrual “by applying the PFS rate for each service less any applicable multiple procedure payment reduction (MPPR) amount”; claims over the threshold without KX are denied. A 60-minute session under the new codes computes to $95.90 to $127.41 (before MPPR) versus $76.15 flat under 92507, so beneficiaries receiving both PT and SLP care may reach the combined threshold faster. On an institutional claim, if one PT line exceeds the threshold, KX applies to all PT and SLP lines on that claim (Pub. 100-04, Ch. 5, KX modifier instructions). See our KX modifier threshold guide.

How the MPPR hits the new base codes

The MPPR cuts the practice expense of the second and later therapy procedures billed for a patient the same day, “regardless of whether the services are provided in one therapy discipline or multiple disciplines” (Pub. 100-04, Ch. 5, §10.7). CMS’s proposed CY 2027 “Separately Payable Always Therapy Services Subject to the MPPR” file (revised July 22, 2026) lists 92508, 92526, and the five new base codes (as 92X0X, 92X2X, 92X4X, 92X6X, and 92X8X), plus GSLPP; the five add-ons are not on it, consistent with CMS’s statement that add-on codes have been excluded from the MPPR since the CY 2011 final rule (91 FR 43886).

Worked example (national, proposed): same-day 92658 (PE 0.51) and 92526 (PE 1.11). 92526 has the higher PE and is paid in full: $80.79. 92658 loses half its PE: (1.00 + 0.255 + 0.01) x $32.8409 = $41.54, versus $49.92 at full value. Any 92659 add-on units are paid in full at $22.99 each. A same-day PT and SLP visit for one patient rank together in one MPPR pool, not two. See our MPPR guide.

Will 92654 to 92663 be on the Medicare telehealth list?

Unknown as of September 2026. The CY 2026 final Medicare Telehealth Services List (from CMS’s telehealth list page) includes 92507, 92508, 92521, 92523, 92526, 97129, and 97130, all “Maintain.” The CY 2027 proposed list (file dated July 1, 2026) still shows 92507 as “Maintain” alongside the same codes, and adds GSLPP as a proposed “Addition” (91 FR 43863), but does not list 92654 through 92663 or the placeholder numbers. Whether the ten new codes land on the final list isn’t knowable until it posts. Separately, Section 6209(a) and (b) of the CAA, 2026 extends telehealth flexibilities (geographic restrictions, originating sites, eligible practitioner types) through December 31, 2027 (91 FR 43863-43864). See our telehealth coverage guide.

NCCI and MUE edits for the new codes

The current practitioner NCCI PTP edit file (v323r0, effective October 1, 2026, from CMS’s PTP edits page) has active edits with 92507 as column 1 against 97110, 97112, 97129, 97150, 97530, and 97533 (indicator 1); 92508 and 92507 carry a mutually exclusive edit, indicator 1, since October 1, 2020. There is no active edit pairing 92507 with 92526, a common misconception. The current practitioner MUE table (effective October 1, 2026, from CMS’s MUE page) sets 92507 at 1 unit (MAI 3, clinical), 92508 at 1 (MAI 3), 92526 at 1 (MAI 2, policy), 97129 at 1 (MAI 2), and 97130 at 7 (MAI 3). CMS posts changes to both files quarterly; neither yet covers 92654 through 92663. The first chance is the quarterly files effective January 1, 2027, and whether the 92507-family edit pattern migrates to the new codes is unknown until then. See our NCCI edits guide.

What to change before January 1, 2027

• Load 92654 through 92663 and revised 92508 into the charge master effective January 1, 2027, and term 92507 December 31, 2026 (92507 stays billable for 2026 dates of service).
• Set charges by category: proposed Medicare values run about $23 to $72 per code, and a 60-minute session runs $95.90 to $127.41 depending on category.
• Build the unit rule per payer: the CPT midpoint convention (16 minutes for the base, 38 for the first add-on) for payers following CPT convention; leave Medicare’s own unit-counting rule open until CMS publishes one.
• Update templates to capture direct treatment time per code and the clinical category treated, since category now selects the code.
• Ask each commercial payer and Medicaid program when it loads the new codes, whether and how long it keeps accepting 92507, its fees per code, and whether it will recognize GSLPP if finalized.
• Watch the calendar: the CY 2027 final rule (expected around November 1, 2026), the final telehealth list, the CY 2027 therapy code list, and the Q1 2027 NCCI PTP and MUE files (effective January 1, 2027).

Every one of these codes carries its own minute and unit rule, layered on top of MPPR, KX accrual, and a Medicare counting question CMS hasn’t answered yet. PrismEHR lets organizations define their own billing rules, including minute and unit restrictions by code and payer, enforced at documentation and reinforced again at claim creation, and units default to zero rather than prefilling from the prior visit. It also tracks accrued therapy dollars per beneficiary against the KX threshold and serves multiple disciplines, PT, chiropractic, orthopedics, wellness, and primary care, in one chart, which matters when a beneficiary’s PT and SLP visits accrue toward the same combined threshold. Read our Medicare 8-minute rule guide for the timed-code logic this new family sits alongside, and see how it fits physical therapy practices.