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BT2024127: Billing clarified for communication disorder evaluations by speech-language pathologists
Act
immediately
Effective date
Aug 13, 2024
Identified
Jun 19, 2026
Summary
Indiana Medicaid clarifies that speech-language pathologists can now bill specific CPT codes (92521-92523, 92597, 92607-92609) for communication disorder evaluations and speech-generating device services. Initial evaluations don't require prior authorization, but reevaluations need PA except within 30 days of hospital discharge with speech pathology orders.
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What to do
immediately · 3 steps
01Billing team must update system to allow speech-language pathologists to bill CPT codes 92521, 92522, 92523, 92597, 92607, 92608, and 92609 for Indiana Medicaid patients.
02Configure prior authorization requirements for codes 92597, 92607, 92608, and 92609, but allow initial evaluations and reevaluations within 30 days post-discharge without PA.
03Update encounter forms and notify speech-language pathologists of billable codes and PA requirements.
Codes mentioned
92521925229252392597926079260892609
Original notice
BT2024127: Billing clarified for communication disorder evaluations by speech-language pathologists
in.gov · Always check the source before changing claims.
Related changes
See all Indiana Medicaid (IHCP) changes →BT2024167: IHCP publishes code set for speech/hearing therapistsMediumEffective Oct 15, 2024 · Provider BulletinBT202276: IHCP announces EVV home health policy detailsHighEffective Nov 5, 2022 · Medical PolicyBT2025175: IHCP to remove prior authorization requirements from audiology procedure codes 92607 and 92608LowEffective Jan 10, 2026 · Prior AuthorizationBrowse every Indiana Medicaid (IHCP) change in the policy list