In a recent Provider Relations email (excerpt below), some changes to speech consultation codes were published. The changes involve the addition of four new, more specific speech consultation procedure codes effective 1/1/2014. These codes must be used for speech consultations dated January 1, 2014 and later. MSB has created new Speech Transaction Logs* to reflect these changes.
*PLEASE NOTE: There are now separate logs for Individual/Group services and Consultation/Evaluation services.
Speech Therapy Code Changes for Medicaid for Schools
The following procedure codes have been updated to allow billing with the “U1” modifier for services rendered when the therapist is in consultation regarding a Medicaid Client without the client present. These codes are only allowed for the school based benefit plan and the change is effective 01/01/2014.
- Procedure Code 92521 TM U1 (Consultation of Speech Fluency)
- Procedure Code 92522 TM U1 (Consultation of Speech Sound Production)
- Procedure Code 92523 TM U1 (Consultation of speech sound production with consultation of language comprehension and expression)
- Procedure Code 92524 TM U1 (Consultation of behavioral and qualitative analysis of voice and resonance)
In the event that claims were submitted and denied due to the use of the expired code, your Claims Analyst will contact you and advise as to how to proceed.
If you have any questions, please contact your MSB Claims Analyst.