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    v1.0.30
    OpenPayerBilling CodesTreatment of Auditory Processing DisorderCPT cpt-92508-group-speech-auditory-treatment-assessment
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    CPT 92508: Group Treatment for Speech, Language, and Auditory Disorders

    Medicare pays $25 and commercial payers pay $66 on average nationally for this procedure.

    CPT code 92508 describes treatment provided to a group of two or more individuals with communication and hearing difficulties, focusing on assessment and therapeutic intervention for patients with impaired sound production and significant receptive and expressive language deficits; service type: group speech-language and auditory therapy/assessment; typical site of service: speech-language pathology or audiology clinic, rehabilitation center, or outpatient therapy department.

    For related coverage guidance, see recent payer policy updates: Office-based Laryngeal Procedures, Injectable Dermal Fillers and Bulking Agents (for New Mexico Only), Injectable Dermal Fillers and Bulking Agents (for Kentucky Only).

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    National Reimbursement Benchmarks

    National averages place Blue Cross Blue Shield and other commercial payers above Medicare for CPT 92508: Medicare mean is $24.8 while BUCA’s mean sits substantially higher at $66, indicating commercial networks on average reimburse roughly $41.20 more than Medicare for this code. This spread highlights a material gap between government and commercial payment levels for this service.

    Dispersion varies notably across payers. Blue Cross Blue Shield shows the widest interquartile spread at $80.90 (P75 $125.40 minus P25 $44.50), followed by BUCA with a spread of $54.50 (P75 $89.50 minus P25 $35.00). The tightest IQRs are Aetna at $8.00 (P75 $26.00 minus P25 $18.00) and UnitedHealth Group at $22.40 (P75 $46.90 minus P25 $24.50), indicating more consistency in negotiated rates for those payers.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 6-year-old child with delayed speech and difficulty producing intelligible sounds attends a scheduled group speech-language pathology session billed as 92508. The child has a history of mixed receptive-expressive language deficits and a primary diagnosis of F80.2 (Mixed receptive-expressive language disorder), with accompanying phonological errors consistent with F80.0 (Phonological disorder). The multidisciplinary clinic schedules a 45-minute group treatment where a licensed Speech-Language Pathologist leads interactive drills, auditory discrimination tasks, and sound-production activities for three children with similar diagnoses. The clinician documents baseline production accuracy, response to auditory cues, and peer-modeling effects. The workflow includes pre-session review of evaluations (including prior 92522/92523 results if available), individualized goals within the group plan of care, direct treatment delivered to the group, progress documentation in the medical record, and periodic reassessment. Typical sites of service are outpatient rehabilitation departments, school-based clinics, or ambulatory therapy centers where group therapy for communication and hearing-related impairments is provided. Payers involved commonly include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, and Medicare, each of which may have specific documentation requirements for group speech-language services.

    Related CPT Codes

    CPT CodeDescription

    Related Modifiers

    8 rows

    ModifierDescriptionWhen to Use
    25CPT modifier 25 indicates that on the same day as another procedure or service, the same physician or other qualified health care professional provided a significant, separately identifiable…- When to apply: Use modifier 25 only on an E/M code to indicate the same provider delivered a significant, separately identifiable E/M service on the same day as another procedure or service — i.e.,…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    59Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
    76Modifier -76, Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional, is appended when the same provider performs an identical, medically necessary procedure or…- Use modifier -76 when the same physician or other qualified health care professional performs an identical procedure or service a second (or subsequent) time on the same date of service and the…
    77Modifier 77 indicates that a previously performed procedure or service was legitimately repeated by a different physician or other qualified health care professional. The AMA’s CPT definition…- Use modifier 77 when a basic procedure or service already performed is repeated by a different physician or other qualified health care professional (for example, a second provider independently…
    95Modifier 95 indicates that a service was provided via synchronous, real‑time audio‑video telehealth rather than in‑person. Per CMS, AAPC and professional associations, append modifier 95 to claim…- Use modifier 95 to indicate a service was furnished via synchronous, real‑time audiovisual telehealth (a live audio‑video conference between patient and provider) rather than in‑person. - Pair…
    26Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    235Z00000X
    2355A2700X
    2355S0801X
    207PE0004X
    261QP0904X
    342000000X
    364SP2800X
    163WP0808X

    Related ICD-10-CM Codes

    23 rows

    ICD-10-CM CodeDescription
    F80.0Phonological disorder
    F80.1Expressive language disorder
    F80.2Mixed receptive-expressive language disorder
    F80.81Childhood onset fluency disorder
    F80.82Social pragmatic communication disorder
    F80.89Other developmental disorders of speech and language
    F80.9Developmental disorder of speech and language, unspecified
    F82Specific developmental disorder of motor function
    F84.0Autistic disorder
    G12.21Amyotrophic lateral sclerosis

    Showing 1–10 of 23

    Related Payer Policy Updates

    Specialty: Otorhinolaryngology (ENT)1 / 3

    10 rows

    PolicyPayerEffective Date
    Office-based Laryngeal ProceduresPremera Bluecross2026-10-06
    Injectable Dermal Fillers and Bulking Agents (for New Mexico Only)UnitedHealthcare2026-10-01
    Injectable Dermal Fillers and Bulking Agents (for Kentucky Only)UnitedHealthcare2026-10-01
    Hearing Aids and Devices Including Wearable, Bone-Anchored, and Semi-Implantable (for Indiana Only)UnitedHealthcare2026-10-01
    Otoacoustic Emissions Testing (for Oxford Only)UnitedHealthcare2026-10-01
    Injectable Dermal Fillers and Bulking AgentsUnitedHealthcare2026-10-01
    Injectable Dermal Fillers and Bulking AgentsUnitedHealthcare2026-10-01
    Sinus Surgeries and Interventions (for North Carolina Only)UnitedHealthcare2026-10-01
    Injectable Dermal Fillers and Bulking Agents (for Nebraska Only)UnitedHealthcare2026-10-01
    Injectable Dermal Fillers and Bulking Agents (for Kansas Only)UnitedHealthcare2026-10-01

    Related Codes

    CPT-92507-SPEECH-AND-HEARING-DIAGNOSTIC-EVALUATION

    CPT 92507: Speech-Language Assessment for Communication and Hearing

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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    Relationship to This Procedure
    92507Treatment of speech, language, voice, communication, and/or auditory processing disorder; individualProvides one-on-one therapy complementary to group sessions billed with 92508; used when individualized direct therapy is required.
    92521Evaluation of speech fluencyUsed prior to or alongside 92508 when fluency assessment is needed to guide group treatment planning.
    92522Evaluation of speech sound productionOften performed before initiating group sound-production therapy to establish baseline articulation performance.
    92523Evaluation of speech sound production with evaluation of language comprehension and expressionComprehensive assessment that informs group therapy goals for receptive and expressive deficits targeted in 92508.