What insurance policy changes affect CPT 92507?

There are 8 tracked policy changes affecting CPT 92507, including updates from Sentara Health Plans, Harvard Pilgrim Health Care, CareSource. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 92507?

Payers that have issued tracked updates for CPT 92507 include: Sentara Health Plans, Harvard Pilgrim Health Care, CareSource, South Dakota Medicaid, Excellus BlueCross BlueShield, Nevada Medicaid.

How do I get notified when CPT 92507 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 92507. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for CPT 92507?

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

92507 — A speech-language pathologist works one-on-one with a patient to treat problems with speech, language, voice, or communication skills.: Insurance Policy Changes

92507 Insurance Policy Changes

CPT 92507, in plain terms, covers A speech-language pathologist works one-on-one with a patient to treat problems with speech, language, voice, or communication skills. CPT 92507 is referenced in 8 tracked payer policy changes from Sentara Health Plans, Harvard Pilgrim Health Care, and 4 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 92507 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Medium impact

Gender Affirming Surgery and Treatments for Commercial and Medicare Advantage Members 7.01.84

Excellus BlueCross BlueShield·Effective May 21, 2026

Excellus BlueCross BlueShield has established new comprehensive coverage criteria for gender-affirming surgeries and treatments for Commercial and Medicare Advantage members, including mastectomy, breast augmentation, genital reconstruction, voice therapy, and other procedures. The policy requires specific documentation including qualified professional letters, 6-month hormone therapy completion for most procedures, and detailed consent processes.

92507 Insurance Policy Changes

Authorization Updates - Effective January 1, 2026

Update: Telehealth flexibilities for Medicare members

[Georgia] Prior Authorization Requirement Update

CPT Code 92507 Billing Update Effective July 1 2025

Gender Affirming Surgery and Treatments for Commercial and Medicare Advantage Members 7.01.84

Attention Provider Type 60 (School Health Services): Ordering, Prescribing and Referring Requirements Updated

Attention Provider Type 34 (Therapy) Specialties 29 (Speech Pathologist) and 219 (Speech Pathologist Language): Prior Authorization Requirements Removed for Certain Speech Therapy Services Effective January 1, 2026

Reminder to Provider Type 34 (Therapy) Specialties 29 (Speech Pathologist) and 219 (Speech Pathologist Language): Prior Authorization Requirements Removed for Certain Speech Therapy Services