42975 Insurance Policy Changes

CPT 42975, in plain terms, covers A speech pathologist evaluates how well your mouth and throat muscles move to help diagnose swallowing or speech problems. CPT 42975 is referenced in 3 tracked payer policy changes from Health Net. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 42975 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 42975 on AAPC