2025 CPT Coding and Billing for Speech Therapy Services

2025 CPT Coding and Billing for Speech Therapy Services is organized by Gawenda Seminars & Consulting, Inc. and will be held on Jan 22, 2024.

Description:
An accurate understanding of the CPT coding and billing process is critical for rehab professionals. 2025 CPT Coding & Billing for Speech Therapy Services covers the correct use of CPT codes used by speech-language pathologists and speech-language assistants in all outpatient settings including private practice, hospital-based outpatient departments, rehabilitation agencies, schools, comprehensive outpatient rehabilitation facilities, skilled nursing facilities doing Part B and in a patient’s home.

The webinar will teach participants which CPT codes are service-based and which CPT codes are time-based. In addition, the webinar will teach participants what interventions are included within each CPT code. The webinar will review National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits and the use of Modifier 59 as they pertain to outpatient speech therapy services. The webinar will review Medicare’s 8-minute rule and the definition of substantial time-based CPT codes per the American Medical Association (AMA) in order to bill correctly to insurance carriers who do not adhere to Medicare’s 8-minute rule. Billing scenarios will be discussed and reviewed to ensure speech-language pathologists can accurately charge patients correctly for their services not only to the Medicare program but also to non-Medicare insurance carriers.

Objectives:
At the conclusion of this webinar presentation, participants will be able to:

• Be able to select and bill the appropriate CPT code based on the type of speech therapy evaluation performed
• Describe & understand how to select the correct treatment CPT code(s) based on interventions provided
• Understand how to bill for the evaluation for a speech-generating communication device
• Differentiate between one-on-one interventions and group therapy
• Define “per hour”, “each additional 15-minutes”, and “each additional 30-minutes” and what is a substantial portion of a time-based CPT code to the bill to Medicare and private insurance carriers
• Define and distinguish between column 1/column 2 NCCI PTP edits
• Be able to read the NCCI edit chart correctly and apply modifier 59 to the correct CPT code on the claim form
• Understand how what SLP’s bill may impact PT and OT reimbursement when patients are seen on the same day
• Be able to charge correctly for the services you provide under outpatient therapy benefits for Medicare and private insurance carriers