CPT 92507 is being replaced by 10 timed codes on January 1, 2027. Here is a code-by-code breakdown of what each treatment area covers, how billing time works under the midpoint rule, and what to do now.
Published: 8/10/26 | Last updated: 8/10/26
Some details in this article, including final code numbers and CMS rates, are still being confirmed. We'll update it as new information becomes available.
For more than 2 decades, CPT 92507 has been the default code for individual speech-language treatment. If you bill for speech, language, voice, communication, or auditory processing services, you've probably used it thousands of times.
Starting January 1, 2027, that changes. The AMA's CPT Editorial Panel approved deleting 92507 and replacing it with 10 new, timed codes. Below is a look at what each new code area covers and when you'd reach for it, plus what's still unsettled.
A quick note on numbering: the new codes don't have final 5-digit numbers yet. The AMA won't assign those until the CPT 2027 code set is published in the fall of 2026, so this guide refers to each code by its disorder area instead. We'll update this article with codes when those are assigned.
92507 was untimed. You billed 1 unit per session no matter how long it ran. Every one of its 10 replacements is timed, so the disorder you treat and the minutes you spend on it will both determine what you bill.
Each treatment area gets a pair of codes: a base code for the first 30 minutes, and an add-on code for each additional 15 minutes.
For treatment of stuttering, cluttering, and related fluency disorders. The base code covers the first 30 minutes of direct, 1-on-1 fluency treatment. The add-on code covers each additional 15 minutes beyond that.
For articulation, phonological process disorders, apraxia of speech, and dysarthria. The base code covers the first 30 minutes of direct treatment targeting speech sound production. The add-on code covers each additional 15-minute block.
For receptive, expressive, or pragmatic language disorders. The base code covers the first 30 minutes of direct language treatment. The add-on code covers each additional 15 minutes.
For resonance disorders and voice quality issues treated through standard behavioral therapy. The base code covers the first 30 minutes, and the add-on covers each additional 15-minute block.
For voice and upper airway treatment that involves instrumentation, such as laryngeal videostroboscopy-guided therapy, or prosthetic voice management. The base code covers the first 30 minutes, and the add-on covers each additional 15 minutes. This pair is distinct from the standard voice codes above; use it when the session relies on instrumentation rather than behavioral technique alone.
For treatment of both speech sound production disorders (articulation, phonological process disorders, apraxia of speech, or dysarthria) and language disorders (receptive, expressive, or pragmatic language) during the same session. The base code covers the first 30 minutes of direct treatment, and the add-on code covers each additional 15-minute block.
A few mechanics worth planning around:
The minimum for a base code is 16 minutes. The midpoint rule requires just over half the base interval, which would put the floor at 16 of the 30 minutes for these codes. A session with only 14 minutes on a given disorder area may not support billing the base code at all.
Multi-disorder sessions likely need separate time thresholds for each disorder. Working on both language and fluency in one visit would mean documenting and clearing the 16-minute threshold for each area separately before billing both base codes, not just totaling the whole session.
Add-on units follow the base. You bill the add-on code only after the base code's time has been met, then apply the same midpoint logic to each additional 15-minute block (so the minimum for an add-on code would be 8 minutes). For more on how time-based documentation supports medical necessity, see our guide to Medicare documentation and proving medical necessity.
The 10 new codes don't include a clear code for auditory processing disorder treatment, even though 92507's old descriptor named it explicitly. A code change application has been filed to address the gap. If APD treatment is part of your caseload, this is worth tracking closely as it's unresolved.
You can still bill 92507 until January 1, 2027, but you can also prepare for the change well before then. Here are a few things you can do in your day-to-day now to get comfortable billing the new codes.
Start logging exact treatment minutes per disorder area in your session notes, even while you're still billing 92507. Building the habit now will make the 2027 switch far smoother.
Pull a sample of recent sessions and check how many run under 16 minutes on a single disorder area. That's your early read on exposure under the new thresholds.
Ask your EMR and billing vendors when the new codes will be ready in your system, and watch for the CMS proposed rule this summer and final rates in November.
92507 is still valid through the end of 2026. Nothing about how you bill today needs to change, but the more precisely you document treatment time by disorder area now, the less there is to fix later.
We're tracking this transition closely, from the CMS proposed rule this summer through the final reimbursement rates. As the code descriptors and valuations are confirmed, we're building the new codes into Prompt's documentation and billing tools so clinicians aren't stuck updating templates and fee schedules by hand at the end of the year. Read more about how AI is already optimizing CPT code selection across Prompt's platform.
If you want a hand thinking through what this means for your practice, from time-based documentation habits to how your fee schedule might shift, reach out to the Prompt team and we'll help you map it out.
Is 92507 going away right now?
No. 92507 stays valid through December 31, 2026. The deletion and the new timed codes take effect January 1, 2027, so nothing about how you bill today needs to change yet.
What are the actual numbers for the 10 new codes?
They don't exist yet. The AMA assigns final 5-digit codes when the CPT 2027 code set publishes in fall 2026. Until then, plan around the treatment areas, not the numbers.
Why does the timed structure matter so much?
92507 was untimed: one unit per session, regardless of length. Every replacement code is timed, so the number of units you bill now depends on both the disorder area and the minutes spent treating it. That changes how you document, not just how you code.
What's the minimum time to bill a base code?
16 minutes, based on the midpoint rule (just over half of the 30-minute base interval). A session with only 14 minutes on a given disorder area likely won't support billing that base code at all.
Can I bill for more than one disorder area in a single session?
Likely yes, but each area needs to independently clear the 16-minute threshold. If you spend 20 minutes on language and 12 minutes on fluency in the same visit, only the language base code would be billable. Total session time isn't what counts, it's minutes per disorder area.
How do the add-on codes work?
Add-ons only apply after the base code's time is met, and each additional 15-minute block follows the same midpoint logic, putting the add-on minimum at 8 minutes.
What happened to auditory processing disorder treatment?
There's no dedicated code for it among the 10 replacements, despite APD being named explicitly in 92507's old descriptor. A code change application is in progress to close that gap, but it's unresolved. If APD is part of your caseload, this is worth tracking.
What should I start doing now, before 2027?
Start logging exact treatment minutes by disorder area in your session notes, even while still billing 92507. Pull a sample of recent sessions to see how many run under 16 minutes on a single disorder area. That's an early read on your exposure once the new thresholds take effect.
Will my EMR handle this automatically?
Ask your EMR and billing vendors directly, and timelines will vary. Prompt is building the new codes into its documentation and billing tools as code descriptors and valuations get confirmed, so clinicians don't have to update templates and fee schedules by hand at year end.
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