CMS Adds Ten New Speech Therapy Billing Codes
Ten new speech-language pathology treatment codes replace a single billing code used for decades, effective January 1, 2027.
Updated on Nov. 5, 2026 in Language Learning
The Centers for Medicare & Medicaid Services included ten new speech-language pathology treatment codes in the 2027 Medicare Physician Fee Schedule, released November 4, 2026. The codes replace billing code 92507 beginning January 1, 2027.
Why it matters
The new codes are designed to increase transparency and offer greater specificity about the treatment provided to people with speech and language disorders. They are expected to make clinicians' work more visible to payers.
CMS replaces the single speech-language pathology code 92507 with ten new treatment codes, and Medicare payments will vary by treatment type and duration. Clinicians must account for the time they spend providing services under the new structure.
The players
Centers for Medicare & Medicaid Services (CMS)
The federal agency that administers Medicare and sets payment rules for its services, including the annual Physician Fee Schedule.
American Speech-Language-Hearing Association (ASHA)
A professional association representing about 247,000 members and affiliates in speech-language pathology and audiology, which took part in the code development process.
Linda I. Rosa-Lugo
The 2026 president of the American Speech-Language-Hearing Association.
The details
ASHA participated in the American Medical Association's CPT code development and valuation processes and coordinated national surveys of practicing clinicians to provide clinical evidence and recommendations. CMS placed all ten new codes on the Medicare Telehealth Services List.
Timeline
November 4, 2026: CMS released the 2027 Medicare Physician Fee Schedule.
January 1, 2027: The ten new speech-language pathology codes take effect, replacing code 92507.
Language Learning Landscape
The change applies the Medicare Physician Fee Schedule's annual coding update to speech-language services, which have relied on one code for decades. The new ten-code structure reflects the same granular billing direction seen in other therapy services.
Speech-language pathology providers will need to use the ten new codes starting January 1, 2027, replacing code 92507 in their billing. Patients receiving Medicare-covered speech therapy may see changes in how services are documented and billed.
The takeaway
Speech-language pathology billing is moving from one broad code to ten specific treatment codes, so clinicians and patients should expect documentation and billing changes by early 2027.
What happens next
Ten new speech-language pathology codes take effect January 1, 2027, when code 92507 is replaced.
Further reading
For related coverage, see Language Learning on Wisevoter.
Source note: This article includes information reported by The Manila times.
