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Common CPT Codes: SLP

presented by Rick Gawenda, PT

Accrediting Body:

Target Audience:

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Disclosure Statement:

Financial: Rick Gawenda receives compensation from Gawenda Seminars & Consulting, Inc., and MedBridge for this course.

Nonfinancial: Rick Gawenda has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

Accreditation Check:
Video Runtime: 70 Minutes; Learning Assessment Time: 45 Minutes

This course will discuss how the monetary value of a CPT code is determined and what the relative value units are that make up the three components of a CPT code. In addition, this course will teach participants the CPT codes most commonly used by speech-language pathologists.

Learning Objectives
  • Distinguish the three relative value units of a CPT code
  • Determine how your geographic region has an impact on payment for each CPT code commonly billed by speech-language pathologists
  • Choose between the various evaluation codes commonly billed by speech-language pathologists
  • Deduce how a speech-language pathologist may bill more than one evaluation code on the same date of service and/or during the same episode of care
  • Determine when a speech-language pathologist would bill for a cognitive assessment or cognitive training
  • Prioritize which CPT code to select based on the interventions provided
  • Plan how to bill the caregiver training services CPT codes
  • Determine the three ways an insurance carrier reimburses for outpatient speech therapy

Meet Your Instructor

Rick Gawenda, PT

Rick Gawenda is founder and president of Gawenda Seminars & Consulting, Inc. He graduated in 1991 with a Bachelor of Science in physical therapy from Wayne State University in Detroit. Rick is director of finance for a physical therapist-owned private practice with multiple offices located in Southern California. In addition, he was director of physical…

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Chapters & Learning Objectives

1. Determining the Monetary Value of a CPT Code

This chapter will teach participants how the Medicare program and other insurance carriers determine the monetary value for each CPT code billed by therapy providers. The chapter will also discuss the geographic cost price index and how payment from the Medicare program for outpatient therapy varies depending on your geographic location.

2. CPT Codes 92521–92524 and S9152

This chapter will teach participants the four primary evaluation CPT codes utilized by speech-language pathologists. The chapter will also discuss how to bill for a reevaluation performed on a Medicare patient and discuss HCPCS Level II code S9152 and how some non-Medicare insurance carriers are paying for this code for a speech therapy reevaluation.

3. CPT Codes 92507, 92508, 92520, and 92526

This chapter will teach participants the most common treatment CPT codes billed by speech-language pathologists. Examples of interventions that would be included within each CPT code will be provided.

4. CPT Codes 92597–92609

This chapter will teach participants the CPT codes that are used by speech-language pathologists who perform evaluations for voice prosthetic devices, non-speech-generating communication devices, and speech-generating communication devices. Examples of each type of evaluation will be provided to assist the speech-language pathologist with reporting the correct CPT code.

5. CPT Codes 92610–96125 and CPT Codes 97129, 97130, and 97533

This chapter will teach participants the CPT codes that are used by speech-language pathologists who perform swallowing evaluations, aphasia assessments, and standardized cognitive performance testing. Treatment codes for cognitive function and sensory integrative techniques will also be explained. Examples of each type of evaluation and treatment code will be provided to assist the speech-language pathologist with reporting the correct CPT code.

6. Caregiver Training Services CPT Codes

This chapter will cover the caregiver training services CPT codes of 97550, 97551, and 97552. The chapter will teach participants what is required in order to bill these CPT codes to an insurance carrier. The chapter will teach participants what the difference is between CPT codes 97550 and 97551 compared to CPT code 97552.

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