Hallie Bulkin breaks down 2027 CPT codes for same-day speech and feeding services. A 45-minute session with 25 minutes of speech treatment and 20 minutes of feeding can bill one unit each of codes 92656 and 92526. Timing thresholds: 16-37 minutes covers the base code, 38 minutes triggers the first add-on unit.
I want you to assume the payer adopts the new CPT codes and they use the standard CPT midpoint timing rule and permits the same-day combination. Okay, so the final 2027 edits, they still need to be checked. These examples show how the structure works. They're not a guarantee that every payer will approve the claim. Keep that in mind. Now, under the midpoint rule, 16 through 37 minutes supports the base code. At 38 minutes into a session, the first add-on becomes reportable. At 53 minutes, a second add-on unit becomes reportable. Those minutes must belong to that service. So imagine 45 minutes with a child. Okay, you've got 25 minutes of speech sound treatment, 20 minutes of separate medically necessary feeding treatment. The potential combination is 1 unit of 92656, new code for speech sounds, and 1 unit of 92526 for feeding.
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