If you bill 92507, your day-to-day is about to change.
Updated September 2026: the code numbers are here
The AMA released the CPT 2027 code set on September 9, 2026, and the ten new treatment codes are 92654 through 92663. The full breakdown by category is in the tables below. The CMS comment period on the proposed Medicare rule closed on September 14, 2026.
Code numbers in this guide are as published by the Louisiana Speech-Language-Hearing Association from the CPT 2027 code set. ASHA has not yet posted its own public crosswalk, so verify against the CPT 2027 codebook or data file before you load anything into an EHR, a chargemaster, or a fee schedule.
The next milestone is the CMS final rule in November 2026, which sets Medicare Part B values and decides the fate of the proposed pediatric G-code. For that breakdown, read what GSLPP actually means.
The American Medical Association's CPT Editorial Panel approved the deletion of CPT 92507 at its September 2025 meeting and approved ten new specialty-specific timed codes to replace it. The change takes effect January 1, 2027. After more than two decades as the catch-all treatment code for individual speech-language services, 92507 is going away.
This is the biggest billing change for the speech-language pathology profession since SLPs got direct Medicare billing rights in 2009. It affects how you document, how you bill, how you set your fees, and in some cases, how much you get paid for the same session you provide today.
The conversation around it has been confusing. ASHA's communication has been hamstrung by AMA confidentiality rules. Information has come out in fragments through advocacy podcasts and Facebook groups. We wrote this so you have one place to understand the full picture clearly.
What this article covers:
- What was approved at the September 2025 panel meeting
- The timeline: from approval to effective date
- The ten new codes, by category
- From untimed to timed: the operational shift
- The auditory processing gap
- The May 2026 rescission attempt
- What you should be doing now
- Where to find the official sources
What was approved at the September 2025 panel meeting
At the September 24-26, 2025 CPT Editorial Panel meeting, the AMA approved a comprehensive overhaul of the SLP individual treatment code structure. The decision included three core actions:
- Deletion of CPT 92507, the untimed individual treatment code SLPs have used for decades for any combination of speech, language, voice, communication, or auditory processing services.
- Establishment of ten new Category I codes covering five clinical categories. Each category has a base code and an add-on code, and each is time-based.
- Revision of the group treatment code (92508), which survives as a stand-alone untimed code, and updates to the related coding guidelines.
The September 2025 documents used placeholder numbers, written as 92X0X through 92X9X. The AMA assigned the real numbers when it published the CPT 2027 code set on September 9, 2026. They run 92654 through 92663, in the same order as the placeholders.
Why this happened
92507 has been valued at 1.30 work RVUs based on 60 minutes of total work time, meaning face-to-face treatment plus the associated pre and post service work. That valuation has not been meaningfully updated in over 15 years. In 2024, CMS and the AMA flagged the code through a high-volume growth screen, which triggered review through the CPT and RUC processes. The result is the 2027 restructure.
The timeline: from approval to effective date
The path from approved at panel to live in your billing system is a multi-step process that extends across two years.
- September 2025CPT Editorial Panel approves deletion of 92507 and approves ten new timed codes.
- Late 2025AMA RUC survey distributed to ASHA members. Code descriptors and proposed work RVUs released via the February 2026 RUC report.
- February 2026ASHA confirms publicly that the changes were approved. RUC submits work RVU recommendations to CMS.
- April to May 2026Code Change Application requesting rescission reviewed at the April 30 to May 2 panel meeting. The codes remain in place.
- July 2026Medicare Physician Fee Schedule proposed rule released. Includes initial Part B pricing for the new codes and a proposed pediatric G-code (GSLPP).
- September 9, 2026AMA releases the CPT 2027 code set. The new codes are numbered 92654 through 92663.
- September 14, 2026CMS public comment period on the proposed rule closes.
- Q4 2026Coding edits expected, including NCCI and MUE requirements for the new codes.
- November 2026 Next major milestoneCMS final rule released. Medicare Part B payment rates finalized and the fate of GSLPP decided.
- January 1, 202792507 is officially deleted. The new ten codes take effect.
If you are hearing from billing software vendors, EHRs, and clearinghouses that they are already coding for the change, that is normal and expected.
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The ten new codes, by category
The new structure replaces a single broad code with five disorder-specific code pairs. Each base code covers an initial 30-minute interval, with an add-on code for each additional 15 minutes. Select the pair that most accurately describes the disorder being treated, the service provided, and the direct one-on-one time in the session.
1. Fluency disorders
| Code | Descriptor | Time |
|---|---|---|
| 92654 | Treatment of fluency disorder (eg, stuttering and cluttering), direct (one-on-one) patient contact; initial 30 minutes | First 30 min |
| +92655 | Each additional 15 minutes, listed separately in addition to 92654 | +15 min |
2. Speech sound production disorders
| Code | Descriptor | Time |
|---|---|---|
| 92656 | Treatment of speech sound production disorder (eg, articulation, phonological process, apraxia, dysarthria), direct (one-on-one) patient contact; initial 30 minutes | First 30 min |
| +92657 | Each additional 15 minutes, listed separately in addition to 92656 | +15 min |
3. Language comprehension and expression disorders
| Code | Descriptor | Time |
|---|---|---|
| 92658 | Treatment of language comprehension and expression disorder (eg, receptive and expressive language), direct (one-on-one) patient contact; initial 30 minutes | First 30 min |
| +92659 | Each additional 15 minutes, listed separately in addition to 92658 | +15 min |
4. Combined speech sound production and language disorders
| Code | Descriptor | Time |
|---|---|---|
| 92660 | Treatment of speech sound production disorder and language comprehension and expression disorder, direct (one-on-one) patient contact; initial 30 minutes | First 30 min |
| +92661 | Each additional 15 minutes, listed separately in addition to 92660 | +15 min |
The pair most pediatric SLPs will use
When a session treats both a speech sound production disorder and a language disorder, you must report 92660 and 92661. CPT instructions explicitly bar reporting the separate speech codes (92656, 92657) together with the separate language codes (92658, 92659), and bar reporting the combined codes alongside either separate pair. A child with articulation and language goals in the same visit is a combined-code session, not two codes.
5. Voice, upper airway dysfunction, and resonance disorders
| Code | Descriptor | Time |
|---|---|---|
| 92662 | Treatment of voice, upper airway dysfunction, and/or resonance disorders, direct (one-on-one) patient contact; initial 30 minutes | First 30 min |
| +92663 | Each additional 15 minutes, listed separately in addition to 92662 | +15 min |
Group treatment, unchanged in structure
| Code | Descriptor | Time |
|---|---|---|
| 92508 | Treatment of speech, language, voice, communication, and/or auditory processing disorder, group, 2 or more individuals | Untimed |
Where these numbers come from
The category structure, descriptors, and time thresholds follow ASHA's published guidance. The five-digit numbers are as published by the Louisiana Speech-Language-Hearing Association from the CPT 2027 code set released September 9, 2026. ASHA has not yet posted its own public crosswalk, so confirm against the CPT 2027 codebook or data file before configuring billing systems. We will update this guide when ASHA publishes.
One more reporting restriction
None of the new treatment codes may be reported together with the adaptive behavior codes 97153 or 97155, and 92508 may not be reported with 97154 or 97158. If your patients also receive ABA services, coordinate with that provider on same-day scheduling.
From untimed to timed: the operational shift
The most important thing to understand about the new codes is that they are timed, and 92507 was not. Under 92507, you billed one unit per session regardless of session length. Under the new codes, time becomes the unit of service.
The midpoint rule, applied
Each base code covers an initial 30 minutes of direct, one-on-one contact. Under the general CPT midpoint convention, you can typically report the base code after 16 minutes of the described service, and the first add-on unit after the full 30-minute base period plus at least eight additional minutes. CPT instructions, CMS rules, and individual payer policies can set different requirements, so confirm each payer's billing policy before you report.
Total direct treatment time on one disorder area
| Time | What you report |
|---|---|
| Under 16 min | Do not report the service separately |
| 16 to 37 min | 1 base code |
| 38 to 52 min | 1 base code + 1 add-on |
| 53 to 67 min | 1 base code + 2 add-ons |
| 68 to 82 min | 1 base code + 3 add-ons |
Two rules govern the time itself. An add-on code can never be reported on its own and must accompany its designated base code. And the same minutes cannot be counted toward more than one service, so time spent on an untimed service or a different timed code does not roll into these.
What this means for short sessions
If your session is 14 minutes of fluency work, you may not be able to bill for it at all. Sessions under 16 minutes on a given disorder area are at risk under the new structure in a way they were not under 92507.
What if you treat multiple disorders in one session?
More than one code from the family can be reported on the same date of service when each service is distinct, medically necessary, and independently meets its own time requirement. A session covering both language and fluency would require 16 minutes minimum on each, roughly 32 minutes total, before both base codes can be billed. The exception is speech sound production plus language, which is reported with 92660 instead. The single session, single code model is going away.
Documentation has to carry the weight here. For each code you report, the note should identify the service performed, the goals addressed, and the direct treatment time attached to it. Our breakdown of the pediatric session math walks through the common scenarios.
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The auditory processing gap
Under 92507, treatment for auditory processing disorder was billable as part of the broad descriptor that explicitly named auditory processing disorder. The five new individual treatment categories do not include a clear treatment code for APD, though the revised group code 92508 still names it. This is the single most controversial omission in the new structure. A Code Change Application has been filed to address it. If you treat APD, follow this advocacy effort closely. We have a separate deep-dive on the APD coding gap and what to do now.
The May 2026 rescission attempt
A Code Change Application asking the panel to reconsider the September 2025 decision was reviewed at the April 30 to May 2, 2026 CPT Editorial Panel meeting. It did not stop the change. The ten new codes and the deletion of 92507 were published in the CPT 2027 code set on September 9, 2026, which settles the question. For the official record, see the AMA Summary of Panel Actions alongside ASHA's page on the new treatment codes.
Where things stand
Billing software, EHRs, and clearinghouses are configuring their systems for the January 1, 2027 effective date. The September 2025 decision stands and the code set is published. Plan on the transition happening.
What you should be doing now
Right now
- Document time precisely. Log exact treatment minutes per disorder area in your session notes, starting today.
- Audit your typical session length. Pull six months of sessions. How many fall under 16 minutes on any single disorder area? That is your exposure.
- Map your patients to the five categories. Pay particular attention to how many are combined speech and language cases, since 92660 has its own reporting rule.
- Verify the code numbers. Pull 92654 through 92663 from the CPT 2027 codebook or data file, confirm them against your own copy, and give them to whoever configures your systems.
October to November 2026
- Confirm your EHR and billing system roadmap. Ask vendors directly when the new codes will be live and what training they are providing.
- Review payer contracts. If 92507 is named in your contract, you may need amendments before January 1. Ask each payer when it will start accepting the new codes, since adoption timelines vary.
- Model your fee schedule against the proposed Part B rates now, then finalize after the November final rule. These are Medicare figures, so commercial and Medicaid rates will differ.
- Watch for coding edits. NCCI and MUE requirements are expected in the last quarter of 2026 and will affect same-day reporting.
December 2026
- Train staff on documentation including the midpoint rule, the combined speech and language code, multi-disorder sessions, and add-on code logic.
- Run mock claims in your EHR test environment before real claims go live.
- Brief referral sources and families that bills may look different starting in January.
Where to find the official sources
- ASHA's page on the new treatment codes replacing 92507. The most complete public explainer, including the category structure, time thresholds, and payer guidance.
- AMA CPT 2027 code set. The authoritative source for the five-digit numbers and the full CPT instructions.
- Louisiana Speech-Language-Hearing Association. Published the code numbers by category following the CPT 2027 release.
- AMA CPT Editorial Panel Summary of Panel Actions. The official record of what was approved in September 2025 and reviewed in May 2026.
- CY 2027 Medicare Physician Fee Schedule. Proposed values were published in July 2026; final values arrive in the November 2026 final rule.
Now you can prepare for it. The change is real. The timeline is set. The new structure rewards clinicians who treat with clarity, document precisely, and operate inside infrastructure built for timed-code complexity.
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Reviewed by Lindy Myers, M.S., CCC-SLP, Clinical Lead at Coral Care. Updated September 2026 with the CPT 2027 code numbers (92654 through 92663) as published by the Louisiana Speech-Language-Hearing Association, plus ASHA's guidance on the five clinical categories and time thresholds. Verify code numbers against the CPT 2027 codebook before billing.
Coral Care handles billing, credentialing, and compliance for pediatric SLPs delivering care in person across nine states. The checklist covers everything you need. If you ever get tired of managing the billing side yourself, that is what Coral Care is for.
See how Coral Care works →Frequently Asked Questions
Does the 2027 change affect commercial insurance or only Medicare?
The CPT codes are universal, but adoption and pricing vary by payer. Commercial plans and Medicaid set their own coverage and rates, and many reference Medicare valuations. If any of your payer contracts name 92507 directly, plan to review and amend them before January 1, 2027.
What happens to auditory processing disorder treatment?
The ten new codes do not name auditory processing disorder, which is the most contested gap in the new structure. A Code Change Application has been filed to address it. If you treat APD, follow the advocacy closely. We cover it in detail in our APD coding gap deep dive.
How should I document sessions to get ready for the timed codes?
Start logging exact treatment minutes per disorder area now. Under the new structure, time is the unit of service, so minute-level documentation tied to each disorder is what will support every code you bill. Building the habit in 2026 makes the January 2027 switch far smoother.
Will the new SLP codes pay more or less than 92507?
That is not yet settled. CMS published proposed Medicare rates in the July 2026 fee schedule and the comment period closed September 14, 2026, with final values due in the November 2026 final rule. Commercial and Medicaid payers set their own rates regardless. Because the new codes are timed, your total reimbursement will track documented session time per disorder area rather than a single flat unit per visit.
What is replacing CPT 92507 in 2027?
Ten new timed codes across five clinical categories, each with a 30-minute base code and a 15-minute add-on: fluency (92654, 92655), speech sound production (92656, 92657), language comprehension and expression (92658, 92659), combined speech sound production and language (92660, 92661), and voice with upper airway dysfunction and resonance (92662, 92663). The group code 92508 remains as a stand-alone untimed code. Code numbers are as published by the Louisiana Speech-Language-Hearing Association from the CPT 2027 code set; verify against the CPT 2027 codebook before configuring your billing systems.
Is CPT 92507 still billable in 2026?
Yes. CPT 92507 remains valid and billable through December 31, 2026 under current payer rules. The deletion takes effect January 1, 2027, so nothing about your billing needs to change today. Use this window to tighten your time documentation before the switch.
Will the new SLP codes pay more or less than 92507?
Final Medicare payment rates for the new codes will not be confirmed until CMS issues the Physician Fee Schedule final rule in November 2026. Proposed rates were published in July 2026 and the comment period closed September 14, 2026. The structural impact varies by session length: shorter single-disorder sessions are likely to see similar reimbursement, longer single-disorder sessions can earn additional add-on units that did not exist under 92507, and sessions treating separate disorder areas can earn multiple base codes. Sessions under 16 minutes on any disorder area lose billing capacity entirely.
What should SLP practice owners be doing now to prepare for 2027?
Practice owners should start with three actions: audit typical session lengths over the last six months to identify exposure under the new thresholds; begin documenting time spent per disorder area in session notes immediately, even while billing 92507; and confirm with EHR and billing software vendors when the new codes will be live in their systems. Closer to the effective date, review payer contracts that reference 92507 by code number, train staff on the midpoint rule, and run mock claims in your EHR test environment.
Did the May 2026 rescission of the new SLP codes succeed?
A Code Change Application requesting rescission of the September 2025 decision was reviewed at the AMA's April 30 to May 2, 2026 CPT Editorial Panel meeting. The official Summary of Panel Actions publishes around mid-May 2026. Practical signals (billing software, EHRs, and clearinghouses already configuring systems for the January 1, 2027 effective date) indicate the original decision is standing. Final confirmation comes when the AMA publishes its formal summary.
What happens to billing for auditory processing disorder treatment?
The ten new SLP codes do not include a clear treatment code for auditory processing disorder. APD treatment was previously billable under 92507's broad descriptor. The omission is the most controversial part of the new structure, and a Code Change Application has been filed to address it. SLPs who treat APD should follow the advocacy effort closely, as the billing pathway for APD-focused services after January 1, 2027 is not yet settled.
Are the new SLP codes timed or untimed?
The new SLP treatment codes are timed. This is a major change from CPT 92507, which was untimed and billed once per session regardless of length. Under the new structure, time spent on each disorder area determines how many units you can bill, following the standard CMS midpoint rule that physical and occupational therapy already use.
What is replacing CPT 92507?
CPT 92507 is being replaced by ten new specialty-specific timed codes across five clinical categories. Each category has a base code covering an initial 30-minute interval and an add-on code for each additional 15 minutes: fluency (92654, 92655), speech sound production (92656, 92657), language comprehension and expression (92658, 92659), combined speech sound production and language (92660, 92661), and voice with upper airway dysfunction and resonance (92662, 92663). Code numbers are as published by the Louisiana Speech-Language-Hearing Association from the CPT 2027 code set; verify against the CPT 2027 codebook before configuring your billing systems.
When is CPT 92507 being deleted?
CPT 92507 will be deleted on January 1, 2027. The American Medical Association's CPT Editorial Panel approved the deletion at its September 2025 meeting. The deletion takes effect when the CPT 2027 code set goes live, which is January 1, 2027 for all dates of service from that date forward.
