System Update and Upcoming Changes to MaineCare Benefits Manual, Section 109, Speech and Hearing Services, CR 39651

February 4, 2014

Effective February 5, 2014, speech codes will be updated in the system to align with current 2014 CPT codes. These changes include the elimination of code 92506 and the addition of codes 92521, 92522, 92523, 92524. Code changes are retroactive back to January 1, 2014.

The new speech codes and rates are:

Billing Modifier(s) Description
Code 92521 GN Evaluation of speech fluency Agency Rate $76.52 Independent Rate $55.27 HIPAA Compliant unit defined as per session

92522 GN Evaluation of speech sound production Agency Rate $62.33 Independent Rate $45.01 HIPAA Compliant unit defined as per session

92523 GN Evaluation of speech sound production with evaluation of language comprehension and expression Agency Rate $129.16 Independent Rate $93.28 HIPAA Compliant unit defined as per session

92524 GN Behavioral and qualitative analysis of voice Agency Rate $64.52 Independent Rate $46.60 HIPAA Compliant unit defined as per session and resonance

*Please note that the Speech and Hearing Services policy will be updated in a few months to reflect these changes.
Please contact your Provider Relations Specialist with questions.