Accurate Speech Therapy Billing: Avoiding Common CPT Code Errors with iMagnum Healthcare
Introduction
Accurate billing in speech therapy is essential for timely reimbursements, minimizing claim denials, and ensuring compliance with payer policies. Yet, many Speech-Language Pathologists (SLPs) and therapy clinics struggle with CPT code submission errors, resulting in revenue losses and increased administrative burdens.
At iMagnum Healthcare, we understand the complexities of speech therapy billing and provide specialized solutions to eliminate coding mistakes, streamline claims, and protect your bottom line.
Understanding Speech Therapy Billing Codes
What Are CPT Codes?
Current Procedural Terminology (CPT) codes are standardized billing codes used to document and submit claims for evaluations, treatments, and procedures. In speech therapy, accurate usage of these codes ensures payers reimburse correctly and regulatory compliance is maintained.
Categories of Speech Therapy CPT Codes
Speech therapy billing typically includes:
- Evaluation Codes – For initial patient assessments
- Treatment Codes – For individual or group therapy sessions
- Specialty Codes – For diagnostic procedures like swallowing evaluations
At iMagnum, our certified coders stay updated on industry changes, ensuring accurate claims every time.
Top CPT Code Submission Errors in Speech Therapy (and Solutions)
1. CPT 92507 – Speech Therapy Individual Treatment
Common Mistake: Used for all sessions, including group therapy.
iMagnum Fixes:
- Verifies documentation matches individual therapy sessions only
- Flags errors via EHR-integrated tools
- Ensures correct use of 92508 for group therapy
2. CPT 92523 – Combined Speech & Language Evaluation
Common Mistake: Misused when only one component is evaluated.
iMagnum Fixes:
- Validates if both components are assessed
- Guides staff on 92521 (speech) or 92522 (language) when appropriate
- Conducts documentation training for clinical accuracy
3. CPT 92610 – Swallowing Evaluation Misuse
Common Mistake: Used for therapy instead of initial evaluation.
iMagnum Fixes:
- Uses 92610 only for assessments, 92526 for therapy
- Confirms code based on session intent
- Regular coding updates and education
Impact of Incorrect Speech Therapy CPT Codes
- Claim Denials & Revenue Loss
- Delayed Payments
- Compliance Risks & Payer Audits
- Increased Admin Costs
How iMagnum Fixes Speech Therapy Billing Errors
1. Documentation Accuracy
- Aligns clinical notes with CPT usage
- Implements pre-submission audits
- Ensures objective measures support medical necessity
2. Continuous Staff Training
- Regular CPT updates and payer policies
- Tailored education for billing and clinical teams
- Access to certified coding specialists
3. Expert Billing Services
- Dedicated Speech Therapy Billing Team
- Manages claims, appeals, and payments
- Allows providers to focus on care, not coding
Key Takeaways for Accurate Billing
- Use 92507 for individual sessions only
- Use 92523 when both evaluations are performed
- Use 92610 for evaluation, not therapy
- Train your team and audit regularly
- Partner with iMagnum Healthcare for billing success
Conclusion
In 2025 and beyond, accurate coding is non-negotiable. Misused CPT codes can derail revenue and compliance—but with iMagnum, you're protected.
Our AI-powered billing tools, certified coders, and compliance-first approach help SLPs maximize reimbursements, reduce denials, and maintain financial health.
Ready to streamline your speech therapy billing?
Connect with iMagnum Healthcare for error-free claims, faster payments, and peace of mind.
