CPT 92507 is being replaced in 2027

On January 1, 2027, CPT 92507 will be removed from the CPT code set. It is the untimed code most speech-language pathologists (SLPs) use for individual treatment, and it is being replaced by 10 timed codes organized by treatment area. Going forward, how long a session runs and which area it addresses will both determine how it is billed. 

Much of this is settled. Some of it is not. This guide explains what is changing, why, what is still being decided, and how SLP practices can get ready without doing the work twice. If your practice uses Fusion by Ensora Health, the 92507 Billing Code Transition FAQ in the Experience Hub is the place to find Fusion-specific guidance. It will be updated as coding, payer, and product details are finalized. 

Why CPT 92507 is being replaced 

Medicare billing for 92507 more than doubled between 2017 and 2022, according to the American Speech-Language-Hearing Association (ASHA). Growth at that level meets the standard criteria the Centers for Medicare & Medicaid Services (CMS) and the American Medical Association (AMA) use to flag a code for review, and in April 2024 they started one. 

The review led to a new approach. Instead of one untimed code for every kind of individual treatment, there are now timed codes that also name the treatment area. ASHA notes that 92507 was created several decades ago, and one broad, untimed code no longer meets current CPT standards for specificity. To set payment values for the new codes, ASHA surveyed its members in October 2025 about how long these sessions take and how much work they involve. CMS used those results in its proposed rule and accepted all 10 recommended values without changes. Final values will be published in the final rule, expected in early November 2026. 

One point matters for every practice, not just those that bill Medicare. This change was made to the CPT code set itself, so most, if not all, payers are expected to transition to the new codes. Medicare starts on January 1, 2027. Medicaid programs and commercial plans will set their own start dates. 

The 10 new SLP treatment codes replacing 92507 

The 10 codes come in pairs, one pair for each of five treatment areas. In each pair, the base code covers the first 30 minutes of direct, one-on-one treatment. The add-on code covers each additional 15 minutes. You cannot bill an add-on code by itself; it always goes with the base code from the same treatment area. ASHA’s overview of the new codes has the full descriptors. 

How the timing works 

Only direct, one-on-one treatment time with the client counts. Time spent on documentation, setup, or between sessions does not. For example: 

What about a session that doesn’t fall exactly on a 15-minute increment, such as 40 or 50 minutes? Under CPT’s general midpoint rule, you can bill for a time unit once you have passed the halfway point. Using that approach, a 40-minute session would be billed as the base code plus one add-on unit because the first 30 minutes are covered by the base code and the remaining 10 minutes exceed half of a 15-minute add-on unit. A 50-minute session would also be billed as the base code plus one add-on unit. Keep in mind that Medicare and other payers may apply their own rules for counting units. Always verify payer-specific requirements before billing. 

Two more rules to know: 

• Minutes do not combine across treatment areas. If one session covers two different areas, each area has to reach its own time threshold with its own minutes. 

• Speech sound production plus language has its own combined code. If a session addresses both, you bill that one combined code instead of billing the two areas separately. For any other combination of two areas, each base code would need to meet its time threshold on its own. Some combinations may not be allowed on the same claim, but those rules, called code edits, have not been published yet and aren’t expected until later 2026. 

In every case, the code should reflect what you treated and for how long. Time should not be divided simply to meet a billing threshold. 

What is not changing 

Group treatment code 92508 stays. It remains untimed, and its description is being updated for 2027 so it no longer refers to 92507. Evaluations, swallowing treatment, and augmentative and alternative communication (AAC) services are also not part of this change. Some descriptions and payer edits may still be updated, so watch for payer guidance. For a refresher on the full SLP code set, see the CPT code playbook for speech therapy. 

What is still being decided 

As of October 2026, four things are still open. Each one is a reason to wait before rebuilding your billing setup.  

• Medicare payment rates. CMS has proposed rates, but they are not final until the 2027 Medicare Physician Fee Schedule final rule is published, which is expected in early November. Any revenue projection before then is an estimate. 

• Medicaid and commercial payer start dates. State Medicaid programs and commercial plans have not announced when they will switch. Some may keep accepting 92507 after January 1 while they update their systems. Keep billing each payer the way you do today until that payer tells you otherwise. 

• A possible pediatric code. In the proposed 2027 Medicare Part B rule, CMS proposed a separate Medicare-specific code for pediatric clients. The proposal does not clearly define the age limit, and ASHA has asked CMS to withdraw it. If it is finalized, each payer will decide whether to use it or the new code family for those clients. Pediatric guidance stays open until the final rule and payer policies are out. 

• Auditory processing. The 10 new codes do not include a direct replacement for auditory processing treatment. Treat this as a question for each payer rather than assuming which code applies. 

None of these open items change what you do today. Keep billing as you do now. Behind the scenes, Fusion’s work on the new codes continues regardless of how they resolve, and the FAQ will be updated as each one is settled. 

Why this changes more than the claim 

Under 92507, how long a session ran was a clinical decision. Starting in 2027, it is a billing decision too. 

That affects each role differently. 

• Practice owners and clinical directors. Session length now affects revenue directly. Until rates are final, it is hard to model the difference between a 45-minute and a 60-minute standard visit. 

• Administrators and billers. Authorizations that name 92507 will need to be updated, payer by payer. If a payer’s system and your claims are out of sync in January, claims will be denied. 

• Clinicians. The change shows up in your notes. A note for a timed service needs to show total direct treatment time, the treatment area, the skilled intervention, the client’s response, and why the service was needed. If you bill more than one area, the note has to support the separate time and work for each. 

If your notes already include time and treatment focus, you will need to change very little. If they rely on a default session length and a general goal statement, they will need more work. 

If you use Fusion, Ensai℠ Session Assistant can help here. Ensai is Ensora’s AI, built into Fusion. With the client’s consent, it listens during the session and drafts the note for you, so the treatment area, the intervention, and the client’s response are captured while they are fresh. You review the draft, confirm the time and codes, and sign. 

Physical therapists (PTs) and occupational therapists (OTs) have billed timed codes for years, so multidisciplinary practices already have some of these habits in place. What is new for SLP is tracking the treatment area along with the time, and making sure both match on the note and the claim. 

How to prepare before your first 2027 date of service 

You can start preparing now, even with some details still open. The steps below will be useful regardless of how those details are decided. They also help you avoid a common mistake in transitions like this one: setting up a new workflow before the rules are final, then having to redo it. 

Practice owners and clinical directors 

• Decide who owns code setup, appointment presets, payer outreach, and staff training. Name those people now. 

• List your most common SLP visit types and lengths. Every later decision, from preset design to revenue modeling, starts here. 

• Hold off on modeling reimbursement until the final rule is published. In the meantime, count how many of your SLP visits fall into each session length (30, 45, or 60 minutes) and each treatment area. Once the rates come out, you can apply them to those counts and see the impact quickly. 

Administrators and billers 

• List your highest-volume SLP payers and contact them first. Ask whether authorizations that run into 2027 need to be updated with the new codes, and when they plan to switch. 

• Find every place 92507 appears in your practice: authorizations, fee schedules, appointment presets, documentation templates, and internal reference sheets. 

• Keep payer questions and answers in one shared place. 

SLP clinicians 

• Look at how you document one-on-one treatment time today. If total minutes and treatment focus are not in every note, start adding them now. 

• Learn the five treatment areas and think about where your typical sessions fall, including which clients will likely use the combined speech sound and language code. 

• Make sure the treatment area and the time in each note match what is billed. That is what payers will look for. 

When the final code details and EHR setup guidance become available, you’ll be ready to add the new codes, rebuild presets, and train your team. Waiting until you’ve completed the steps above keeps everything in a single implementation effort rather than requiring updates in multiple phases. 

How Fusion is preparing 

If you use Fusion, nothing changes in your billing workflow yet. Do not add the new codes in production until the final details are available and setup guidance is published. Fusion is preparing support ahead of the January 1, 2027 transition so practices have time to review workflows, complete setup, and train staff before their first 2027 date of service.  

Fusion is doing the technical work so your team does not have to build this from scratch. The new codes, time-based unit calculations, add-on prompts, and claim rules are being built into the speech-language pathology workflows your team already uses, so when it is time to switch, your job is to set up presets for your common visit types, confirm payer requirements, and review before you sign.  

Here is what Fusion is building to support the transition: 

• Adding and managing the new codes through the existing Billing Codes workflow once the feature is released. 

• Appointment presets that include a base code as a starting point, and Flowsheet activities tied to a disorder category that can add the related code to the daily note. 

• Prompts during documentation that help the therapist see when an add-on code may apply, based on the treatment time entered, before the note is finalized. 

• Claim rules in Fusion’s integrated billing tools that can flag code combinations that should not be billed together, once code edits and payer requirements are final. 

Two things to be clear about. These tools cut down on manual time calculations and missed billing details, and the therapist always confirms the final treatment area, time, and codes. And payer requirements will still vary, so confirm them before you change how you bill. Ensora will publish setup instructions, documentation examples, and training when the workflow is ready. The FAQ is where those resources will appear first. 

If the transition is more than your billing team can take on 

For some practices, this change raises a bigger question: does the team have the capacity to track payer timelines, update authorizations, and manage add-on and combination edits on top of its current work? If not, Ensora RCM (revenue cycle management) works alongside your staff as an extension of your billing team. Getting Fusion ready comes first. RCM is an option if the transition turns out to be more billing complexity than you want to handle in-house. 

What to do next 

Until a payer tells you otherwise, keep billing 92507 through the end of 2026. Use the time between now and January to find every place the code appears in your practice, decide who owns each part of the change, and make sure treatment time is in every note. 

For Fusion-specific guidance, rely on the 92507 Billing Code Transition FAQ. It is updated as details are finalized, and it is where setup instructions, documentation examples, and training links will be posted as they become available. 

Sources 

• American Speech-Language-Hearing Association, New Speech-Language Pathology Treatment Codes Replacing 92507: code structure, five treatment areas, base and add-on timing, and 92508 status. 

• American Speech-Language-Hearing Association, Update on CPT Code 92507: Valuation Review Underway: the 2024 growth screen and Medicare billing growth that triggered the review. 

• American Speech-Language-Hearing Association, CMS Proposes Medicare Payment for New Speech-Language Pathology Treatment Codes: the member survey behind the values and CMS’s acceptance of them in the proposed rule. 

• American Speech-Language-Hearing Association, 2027 Medicare Part B Proposed Rule: Coding, Payment, and Policy Analysis: the proposed pediatric code and the 2027 Physician Fee Schedule process. 

• Ensora Health, 92507 Billing Code Transition FAQ: Fusion guidance, planned product support, and preparation steps.