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    OpenPayerBilling CodesProcedures / Professional ServicesHCPCS hcpcs-g9175-speech-language-pathology-functional-goal-projection
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    HCPCS G9175: Speech-Language Pathology Functional Limitation Goal Status

    HCPCS Level II code G9175 denotes documentation of other speech-language pathology functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or end of reporting, representing a speech-language pathology functional outcome assessment used to track a patient’s progress toward projected goals over the course of a therapy episode; service type: speech-language pathology assessment and functional status monitoring; typical site of service: outpatient rehabilitation clinic or therapy department.

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    Table of contents

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    Clinical & Coding Specifications

    Clinical Context

    A typical patient is an adult or child referred to speech-language pathology for functional communication or swallowing impairment after stroke, traumatic brain injury, progressive neurologic disease (e.g., Parkinson disease), head and neck cancer treatment, or developmental language disorder. At the start of a therapy episode the speech-language pathologist (SLP) performs a baseline functional assessment across relevant domains (speech intelligibility, expressive/receptive language, voice, cognition-communication, swallowing, pragmatics). The SLP documents projected goal status for each functional limitation at the episode outset, records status at standard reporting intervals (for example, every 30 or 60 days), and records status at discharge or at the end of the reporting period. Clinical workflow typically includes initial evaluation, establishment of measurable short- and long-term goals, standardized and/or criterion-referenced functional assessments, periodic progress notes using the same functional metrics, interdisciplinary team updates when relevant (e.g., occupational therapy, physical therapy, neurology, oncology), and a discharge summary that reports final functional status and goal attainment. This billing code G9175 is used to report other speech-language pathology functional limitation status and projected goal status at episode outset, at reporting intervals, and at discharge/end of reporting for quality measurement and payer reporting purposes.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    92521Evaluation of speech fluency (e.g., stuttering)Used when evaluating a specific speech fluency functional limitation alongside overall functional status reporting
    92523Evaluation of speech sound production (e.g., articulation, phonological process)Performed when articulation is a primary functional limitation being tracked with G9175
    92610Evaluation of oral and pharyngeal swallowing functionOften performed prior to or along with functional limitation reporting for dysphagia cases
    92626Evaluation of voice and resonanceUsed when voice/resonance impairments are a documented functional limitation
    92630Treatment of swallowing dysfunction and/or oral function for feedingDocumented as the therapeutic intervention whose progress is tracked with periodic G9175 status reporting
    97112Neuromuscular reeducation (therapeutic procedural code used by therapy disciplines)Used for therapeutic procedures targeting motor speech and swallowing functions whose outcomes are monitored with functional limitation reporting in G9175 table.

    Related Modifiers

    5 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.,…
    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…
    22Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…

    Related Provider Taxonomies

    8 rows

    Taxonomy CodeSpecialtyNotes
    251B00000XCase Management AgencyAn organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access…
    261QP2400XPrison Health Clinic/CenterAmbulatory Health Care Facilities · Clinic/Center
    207L00000XAnesthesiology PhysicianAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
    207K00000XAllergy & Immunology PhysicianAn allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Select…
    3336C0002XClinic PharmacyA pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision o…
    207X00000XOrthopaedic Surgery PhysicianAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated…
    247100000XRadiologic TechnologistA medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and…
    163WP0807XChild & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers · Registered Nurse

    Related Codes

    HCPCS-G9490-HOME-ASSESSMENT-NON-HOMEBOUND

    HCPCS G9490: Home Visit Patient Assessment for Non-Homebound Beneficiary

    HCPCS-G0008-INFLUENZA-VACCINE-ADMINISTRATION

    HCPCS G0008: Administration of Influenza Virus Vaccine

    HCPCS-G0009-PNEUMOCOCCAL-VACCINE-ADMINISTRATION

    HCPCS G0009: Administration of Pneumococcal Vaccine

    HCPCS-G0010-HEPATITIS-B-VACCINE-ADMINISTRATION

    HCPCS G0010: Administration of Hepatitis B Vaccine

    HCPCS-G0011-PREP-COUNSELING-HIV-RISK-REDUCTION-ADHERENCE

    HCPCS G0011: Individual PrEP Counseling, HIV Risk Assessment

    HCPCS-G0012-PRE-EXPOSURE-PROPHYLAXIS-INJECTION-HIV-PREVENTION

    HCPCS G0012: Injection of PrEP Drug for HIV Prevention

    HCPCS-G0013-PREP-INDIVIDUAL-COUNSELING-HIV-RISK-REDUCTION

    HCPCS G0013: Individual PrEP Counseling by Clinical Staff

    HCPCS-G0017-PSYCHOTHERAPY-CRISIS-FIRST-60-MINUTES-NON-OFFICE

    HCPCS G0017: Psychotherapy for Crisis, First 60 Minutes

    HCPCS-G0018-PSYCHOTHERAPY-CRISIS-ADDITIONAL-30-MINUTES-NON-OFFICE

    HCPCS G0018: Psychotherapy for Crisis, Additional 30 Minutes

    HCPCS-G0019-COMMUNITY-HEALTH-INTEGRATION-SDOH-CARE-COORDINATION

    HCPCS G0019: Community Health Integration, Person-Centered Assessment

    Showing 1–10 of 1996

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    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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