Speech - Language Pathology (SLP) Services: Communication Disorders
JH · Effective Oct 1, 2015
10 active Medicare policies list 92521, and 11 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
National · Effective Oct 1, 2025
National · Effective Oct 1, 2025
JL · Effective Oct 1, 2025
J6 · Effective Apr 1, 2026
National · Effective Aug 6, 2026
11 policies from 8 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 92521 |
|---|---|---|
| Auditory Processing Disorder (APD) | Sep 19, 2023 | Covered |
| Early Intervention Programs | Jun 14, 2023 | Covered |
| Speech Therapy | Oct 24, 2023 | Covered |
| Policy | Effective | Status of 92521 |
|---|---|---|
| Autism Spectrum Disorders/Pervasive Developmental Disorders: Assessment and Treatment | May 15, 2026 | Covered |
| Patient Assessments: Medical Necessity Decision Assist Guideline for Evaluations and Re-evaluations |
| Jul 15, 2026 |
| Covered with conditions |
| Policy | Effective | Status of 92521 |
|---|---|---|
| Speech-Language Therapy (SLT) | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 92521 |
|---|---|---|
| Speech-Language Therapy (SLT) | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 92521 |
|---|---|---|
| Speech-Language Therapy (SLT) | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 92521 |
|---|---|---|
| Speech-Language Therapy (SLT) | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 92521 |
|---|---|---|
| Physical Therapy, Occupational Therapy, and Speech Therapy | Apr 14, 2024 | Covered |
| Policy | Effective | Status of 92521 |
|---|---|---|
| EOCCO Specialty Therapies Code List | May 1, 2026 | Prior auth required |