Question 1

What insurance policy changes affect CPT 92520?

Accepted Answer

There are 3 tracked policy changes affecting CPT 92520, including updates from Capital Blue Cross, Nevada Medicaid. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 92520?

Accepted Answer

Payers that have issued tracked updates for CPT 92520 include: Capital Blue Cross, Nevada Medicaid.

Question 3

How do I get notified when CPT 92520 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 92520. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 92520?

Accepted Answer

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.

92520 Insurance Policy Changes

AB2026-08-005 Medical policies

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