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Speech therapy billing software: 92507 and timed codes

Speech therapy billing software turns a documented SLP session into a charge line for your biller or a family's out-of-network claim. Through 2026 the main treatment code, 92507, is untimed and billed once per day; from 2027 a timed family of codes replaces it. MegAligna builds the line from the session and does not transmit claims.

Through 2026: one session, one 92507

Most SLP treatment is still billed with a session code. 92507 has no time unit in it, so it is reported once for the day whether the session ran thirty minutes or sixty. Evaluations work the same way. On a Medicare claim every SLP line also carries the GN modifier, and the patient’s speech services count toward the same 2026 KX threshold as physical therapy: $2,480 combined.

What the software gives you here is the line, built from the session: the code booked for it, the place of service, the diagnosis pointer and the rendering SLP’s NPI. One thing to know before you evaluate: units are computed from the session’s minutes for every code, including codes you mark as untimed, so on a 92507 line your biller should confirm the unit count is one. GN and KX are not added automatically; modifiers come only from payer settings for credential tier and telehealth.

From January 2027: a base code and 15-minute add-ons

ASHA reports that 92507 is being replaced from January 1, 2027 by ten timed codes across five areas: fluency, speech sound production, language, combined speech sound and language, and voice or resonance. Each area has a base code covering the first 30 minutes and an add-on for each further 15. CMS has proposed Medicare values; private payers will each decide whether and when to adopt them, and ASHA says the new codes must not be reported before their effective date.

That makes the session’s real duration a billing fact for the first time. A 60-minute language session becomes a base code plus two add-ons, and each visit here carries one code, so your biller would add the add-on lines. Recording true start and end times now, rather than the booked slot, is the habit that makes the switch painless.

Families claiming out of network, and school contracts

Much private SLP work is out of network by choice. Families pay at the session and claim afterwards, so the superbill is the document that decides whether they are reimbursed. It is built from the same session data as the biller’s export, and the printable version is on hold until we sign the AMA CPT licence. Balances, card payments and statements work today.

School and home sessions record their own place of service, which travels onto the line. What a school district or a state early-intervention programme wants on its own paperwork is not preset, because those requirements differ by contract and by state. The note behind every line is covered in SLP documentation software.

Common questions

Is 92507 billed by the minute?
Not through 2026. It is a session code reported once per day regardless of length. Check the unit count on those lines before they go out, because the software computes units from session minutes for every code.
What changes for SLP billing in 2027?
ASHA reports that 92507 is replaced from January 1, 2027 by ten timed codes: a base code for the first 30 minutes and an add-on for each further 15, in five clinical areas. Medicare values are being finalised, and each private payer decides when to adopt them.
Can it track a plan's yearly visit cap?
Yes, by entering the cap as an authorization. Visits are counted against it as they are scheduled and delivered, with alerts at 80 and 90 percent used and a check at booking rather than at month end.
Does it handle teletherapy sessions?
A session can be flagged as telehealth, which sets the modifier your payer settings name. Video is not part of the product, so you use your own platform under its own agreement.

Close a made-up SLP session and check the line

Add 92507 as a service code, run a session for a made-up client, and read the charge line it produces before your biller would. Real caseloads wait for a signed business associate agreement.

Sources

  1. ASHA, new timed SLP treatment codes replace 92507 from January 1, 2027 (checked October 14, 2026)
  2. The ASHA Leader, untimed SLP codes are reported once per day regardless of session length (checked October 14, 2026)
  3. CMS Therapy Services, 2026 KX threshold of $2,480 for PT and SLP combined (checked October 14, 2026)