CPT Codes

Provider
The list of valid CPT codes in EIBilling.com were provided by BEI from NYEIS.  The list of these codes is available under the Reports menu once you are logged in to EIBilling.con.

We are not authorized to provide advice or guidance on which CPT codes should be used for which services.  The determination of which CPT code is appropriate for any given service should be based on the providers professional training.  If you need guidance on determining a CPT code, we recommend that you check with any professional organizations that you may be a member of, or if possible, some of your fellow professionals.

The guidance that we can provide is related to how to enter CPT codes into our system.  If a CPT code is based on a specific amount of time, you should enter that CPT code once for each unit of time that service was provided.  If that CPT code is just based on the service provided, you only need to enter it once.

Example 1
92507 - "Tx speech, lang, voice, comm, and/or auditory disorder; indiv"
If  the appropriate CPT code for the delivered service is 92507, you only need to enter it once.

Example 2
97110 - "Therapeutic proc, 1+ areas, each 15 min, strength/endur"
If this is the appropriate CPT code for a 45 minute session of a delivered service, then you would enter 97110, 3 times, once in CPT Code 1, once in CPT Code 2 and once in CPT Code 3

Please note:

Effective 1/1/2014, For commercial insurance the CPT code 92506-speech evaluation has been deleted and replaced with four coded: 

The new codes are:

92521 Evaluation of speech fluency (e.g., stuttering, cluttering

92522 Evaluation of speech sound production (e.g., articulation, phonological process, apraxia, dysarthria

92523 Evaluation of speech sound production (e.g., articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (e.g., receptive and expressive language

92524 Behavioral and qualitative analysis of voice and resonance 


Article ID: 53, , Modified: 10/27/2015 at 7:15 PM

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