CPT Code 92522 Assessment of Speech Sound Production

A professional man give the treatment about the speech therapy through mic sit on chair around table professional use code CPT Code 92522

CPT code 92522 is used by Speech-Language Pathologists (SLPs) to bill to evaluate a patient’s speech sound production. This comprehensive assessment aims to identify and diagnose potential speech sound disorders, such as:

  • Speech Disorders: Difficulty producing specific sounds correctly.
  • Phonological Process Disorders: Difficulties with the rules that govern how sounds are combined in words.
  • Apraxia of Speech: A motor speech disorder that affects the ability to plan and sequence the movements involved in speech.
  • Dysarthria: A group of speech disorders caused by weakness, paralysis, or incoordination of the muscles used for speech.

What Is CPT Code 92522?

CPT Code 92522 is used to bill for the evaluation of speech sound production (e.g., articulation and phonological processes). This code applies when a speech-language pathologist (SLP) performs a standardized assessment to identify and diagnose speech sound disorders in children or adults.

As of 2025, correct use of CPT 92522 is critical not only for compliance but also for ensuring timely reimbursement from Medicare, Medicaid, and private payers.

CPT Code 92522 Description

According to the AMA CPT guidelines, the official description of CPT 92522 is:

Evaluation of speech sound production (e.g., articulation, phonological process), with interpretation and report.

This code covers the diagnostic evaluation only, not ongoing treatment. For treatment of speech disorders, providers may use other therapy codes such as 92507.

When to Use CPT 92522

SLPs and healthcare providers should report 92522 when performing:

  • Initial evaluations of articulation or phonological disorders.
  • Speech sound production assessments for children with developmental delays.
  • Diagnostic evaluations following neurological events (e.g., stroke, TBI).
  • Assessments are part of school-based or outpatient speech services.

Common ICD-10 Codes Paired with 92522

  • F80.0 – Specific speech articulation disorder.
  • R47.9 – Unspecified speech disturbance.
  • F80.9 – Progressive disorder of speech and language, unspecified.

(Always ensure the ICD-10 code supports medical necessity.)

92522 CPT Code vs. Other Speech Therapy CPT Codes

Understanding the differences between related SLP CPT codes helps avoid denials:

  • 92507 – Speech, language, voice, communication treatment.
  • 92521 – Evaluation of speech fluency.
  • 92523 – Assessment of speech sound production with language conception and expression.

Tip: If an evaluation includes speech sound production and expressive/receptive language, you may need to report 92523 instead of 92522.

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Documentation Requirements for 92522

Payers require detailed documentation to support billing for CPT 92522:

  • Reason for referral (e.g., articulation disorder, phonological errors).
  • Standardized tests or clinical measures were performed.
  • Summary of findings and severity level.
  • Formal interpretation of results.
  • A written evaluation report with treatment recommendations.

92522 CPT Code Reimbursement & Cost (2025 Update)

  • Medicare reimbursement (average): $70 – $90 per evaluation.
  • Commercial insurance: Typically reimburses between $80 – $120, depending on payer contracts.
  • Out-of-pocket cost: Patients may pay $100 – $200 if not covered by insurance.

Note: Reimbursement may vary by state, payer policy, and provider type. Always confirm with payer fee schedules.

Conclusion

Accurate billing for CPT Code 92522 is essential for speech-language pathologists and healthcare providers in 2025. With payer audits becoming more detailed, proper documentation, correct code selection, and knowledge of reimbursement rates are key to avoiding denials.

At Cures Medical Billing, we specialize in supporting speech therapy billing with precision and compliance. Our team helps providers submit cleaner claims, maximize reimbursement, and reduce administrative stress—so you can focus on patient care.

Contact Cures Medical Billing today to simplify your speech therapy billing and protect your revenue cycle.

Frequently Asked Questions (FAQs)

No. Unlike treatment codes, 92522 is a service-based code, reimbursement is per evaluation, not per time unit.

92522 covers only speech sound production, while 92523 covers speech sound production + expressive/receptive language evaluation.

Yes, but only if the evaluation (92522) and therapy (92507) are performed on separate dates or supported by distinct documentation.

Generally, no. However, if billed with another evaluation code on the same date, modifiers like -59 may be required depending on payer rules.

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