Mostly untimed codes
Treatment and most evaluation codes bill once per day no matter how long the session runs. Timed codes, like the add-on for longer AAC device evaluations, need at least 51 percent of the stated time face to face.
Speech claims share a threshold with PT
Most speech-language pathology codes bill once per day, and Medicare counts SLP spending against the same KX threshold as physical therapy. Taiga drafts codes from your notes for clinician approval and follows up on every denial. Speech therapy is not on its published specialty list, so start with a fit check.
Book a demoWhat makes SLP claims different
Speech follows outpatient therapy rules, but its code set behaves differently from PT and OT.
One threshold, two disciplines
Medicare counts PT and speech services together toward one KX threshold, $2,480 for 2026. A patient seeing a physical therapist elsewhere can push your speech claims past it.
Studies and devices
Swallow studies, laryngeal endoscopy, and speech-generating device evaluations each carry their own pairing and bundling rules. The device itself is a separate item, not part of the evaluation claim.
Splitting the work
Clinicians own the evaluation and plan. Billing follows the documentation line by line.
The practice keeps
Evaluations, certified plans of care, and session notes that show skilled need. The SLP approves codes before submission.
Taiga takes on
Eligibility checks, payer-rule scrubbing including GN modifiers, submission, patient statements, and every denial and appeal.
Needs a decision
Agree who tracks the combined PT and speech total for Medicare patients, and who handles pediatric authorizations and any school or early intervention contracts.
Before a speech therapy fit call
Bring a de-identified evaluation, a treatment note, and a denial you are still working. Do not put patient information in the booking form.
Who are your patients?
Split adult neuro and voice patients from pediatric language and feeding patients, since payer mix and authorizations differ.
Which instrumental work do you do?
List swallow studies, endoscopy, and stroboscopy, and note where they happen and who supervises.
Do you evaluate for AAC devices?
Describe how device evaluations are documented and who handles the device order.
Signs of a good fit
Private speech practices with steady referrals and a backlog of denials or aging A/R. Taiga works alongside your existing EHR and can take over open A/R or run in parallel at the start.
What this page leaves out
Hospital, skilled nursing, and school-based claims run on different billing rules. This page covers private practice claims and does not confirm Taiga support for speech therapy.
Questions about speech therapy billing
Can I bill 92507 more than once in a day?
No. 92507 is an untimed code, so it is billed once per day whatever the session length.
Does every Medicare speech claim need the GN modifier?
Every service under a speech-language pathology or dysphagia plan of care does, whether it is billed by a private practice, a physician office, or a facility.
Do PT visits count toward a patient's speech threshold?
For Medicare, yes. PT and speech share one KX threshold, $2,480 for 2026, so claims past it need the KX modifier no matter which discipline pushed the total over.
Does Taiga bill for speech therapy practices?
Speech therapy is not on Taiga's published specialty list. Share your services and payers, and Taiga will tell you straight whether it fits.
Bring your speech therapy mix
Tell Taiga your payers, patient ages, and services. You will get a straight answer on fit.
System guides show possible billing handoffs, not proven specialty compatibility.