Heads Up on New Cognitive Codes As of Jan. 1, speech-language pathologists who provide cognitive treatment must use new treatment codes on bills submitted to all payers. The new Current Procedural Terminology (CPT® American Medical Association) code, CPT 97127 (cognitive function intervention), replaces CPT 97532 (cognitive skills development, each 15 minutes). Because it is an untimed ... News in Brief
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News in Brief  |   January 01, 2018
Heads Up on New Cognitive Codes
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Practice Management / Attention, Memory & Executive Functions / News in Brief
News in Brief   |   January 01, 2018
Heads Up on New Cognitive Codes
The ASHA Leader, January 2018, Vol. 23, 12. doi:10.1044/leader.NIB4.23012018.12
The ASHA Leader, January 2018, Vol. 23, 12. doi:10.1044/leader.NIB4.23012018.12
As of Jan. 1, speech-language pathologists who provide cognitive treatment must use new treatment codes on bills submitted to all payers.
The new Current Procedural Terminology (CPT® American Medical Association) code, CPT 97127 (cognitive function intervention), replaces CPT 97532 (cognitive skills development, each 15 minutes). Because it is an untimed code, 97127 may be billed only once daily.
Medicare, however, is not accepting the code. The Centers for Medicare and Medicaid Services (CMS) has assigned CPT 97127 a status of “invalid,” meaning that it will not be recognized for Medicare payment. Instead, CMS has created a different code—G0515—to report cognitive treatment services. G0515 contains the same descriptor as former CPT 97532, and the payment rate is very similar.
Private payers and Medicaid have developed their own cognitive coding policies. Clinicians should check with each patient’s payer to verify which code they are accepting.
For more information, read “New Cognitive Treatment Code Takes Effect” and “Coding Conundrums.”
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January 2018
Volume 23, Issue 1