Legislation in Action

Preparing for the 2027 Coding & Billing Changes: A Practical Series for SLPs
Starting January 1, 2027, CPT code 92507 will be deleted and replaced by 10 new codes. These changes have implications for coding, documentation, billing, reimbursement, and how SLPs deliver services.
That’s why we’re offering a 3-part practical education series designed to help SLPs prepare—not panic.
📅 August 19 — Session 1 – Recorded Version Now Available!
From 92507 to What’s Next? Understanding the 2027 Coding & Billing Changes
Learn the new codes, documentation considerations, timed billing, calculating units, the midpoint rule, MPPR, and how timed and untimed services work together.
📅 September 2 — Session 2
Beyond the Fee Schedule: Building a Sustainable SLP Private Practice for 2027
For private practice owners: explore reimbursement, service delivery efficiency, caseload complexity, session length, and how to run the numbers for your own practice.
📅 September 9 — Session 3
2027 Coding & Billing: Your Questions Answered
A live, participant-driven Q&A covering unanswered questions, setting-specific considerations, ASHA resources, and updates on state actions.
OSLHA members attend all three sessions FREE!
Not a member? Membership is $99 and also includes discounted registration for the annual convention and additional education opportunities.
ASHA CEUs are not available for this series but each session qualifies for professional development hours (PDH)

From 92507 to What’s Next? Understanding the 2027 Coding & Billing Changes
Recorded Date: Wednesday, August 19, 2026
Recorded Version Available Now!
(Register below to receive the link to the recorded Zoom session)
Duration: 2 hours
Cost: Free for OSLHA Members, $40 for Non-Members
Abstract:
Beginning January 1, 2027, CPT code 92507 will be deleted and replaced by 10 new codes. This practical session provides SLPs with a roadmap for navigating the transition, including the new codes and definitions, documentation considerations, timed vs untimed billing, calculating units, the midpoint rule, MPPR, and billing timed and untimed services together.
Objectives:
At the conclusion of this course, the participant will…
- Identify the 10 new CPT codes replacing 92507 and describe the services represented by each code.
- Apply coding and documentation principles to match service delivery and clinical documentation with appropriate existing and new CPT codes.
- Calculate timed billing units using applicable billing rules, including the midpoint rule.
- Determine how to report timed and untimed codes when multiple services are provided during the same session.
Course Handouts: Session_1_2027_SLP_Coding_Billing_Participant_Handout 8-19-26

Beyond the Fee Schedule: Building a Sustainable SLP Private Practice for 2027
Live Date: Wednesday, September 2, 2026
Time: 7:00-8:00 p.m.
Cost: Free for OSLHA Members, $20 for Non-Members
Abstract:
The 2027 coding and billing changes may have significant implications for private practice revenue and service delivery. This practical session helps SLP private practice owners evaluate reimbursement rates, examine service delivery efficiency, consider changes to caseload complexity and session length, and use practice-specific financial data to make informed decisions about sustainable business models.
Objectives:
At the conclusion of this course, the participant will…
- Analyze reimbursement rates and practice-specific financial data to identify the potential impact of the 2027 coding and billing changes on practice revenue.
- Evaluate service delivery variables, including session length, caseload complexity, and scheduling efficiency, in relation to practice sustainability.
- Apply basic financial calculations to estimate revenue, productivity, and/or service-delivery scenarios within their own practice.
- Identify potential business-model adjustments and diversification strategies that may support financial stability while maintaining appropriate patient care.

2027 Coding & Billing: Your Questions Answered
Live Date: Wednesday, Sept 9, 2026
Time: 7:00-8:00 p.m.
Cost: Free for OSLHA Members, $20 for Non-Members
Abstract:
This interactive live Q&A provides an opportunity to address questions that remain after the first two sessions and explore how the 2027 coding and billing changes may affect different practice settings. Topics will include coding and billing scenarios, ASHA’s comment builder, setting-specific considerations, and updates regarding state association actions and advocacy efforts.
Objectives:
At the conclusion of this course, the participant will…
- Apply 2027 coding and billing principles to participant-submitted clinical and practice scenarios.
- Identify setting-specific considerations that may affect implementation of the new coding and billing requirements.
- Describe available resources and advocacy opportunities, including ASHA’s comment builder and relevant state association activities.
To help us prepare for this session, please consider submitting your questions in advance: https://forms.cloud.microsoft/r/RjqWxZvBnD
From 92507 to What’s Next? Understanding the 2027 Coding & Billing Changes
Beyond the Fee Schedule: Building a Sustainable SLP Private Practice for 2027
2027 Coding & Billing: Your Questions Answered
Our Legislative Connections
GAC Updates
- OSHGAC June 2026 Newsletter
- OSHGAC May 2026 Newsletter
- OSHGAC April 2026 Newsletter
- OSHGAC March 2026 Newsletter
- OSHGAC February 2026 Newsletter
- OSHGAC December 2025 Newsletter
- OSHGAC November 2025 Newsletter
- OSHGAC October 2025 Newsletter
- May 2024 Update
April 2024 Update
March 2024 Update
February 2024 Update
November 2023 Update
October 2023 Update
September 2023 Update
August 2023 Update
June 2023 Update
May 2023 Update
March 2023 Update
January 2023 Update
December 2022 Update
October 2022 Update
August 2022 Update
June 2022 Update
May 2022 Update
April 2022 Update
February 2022 Update
Changing the Future Through Advocacy
OSLHA Advocacy Representatives
For more information or questions on legislative or advocacy issues, contact your OSLHA Director of Advocacy any time!
Maggie Kettler, AuD, FAAA
To call or write your legislator, visit: www.legislature.ohio.gov
CPT 92507 Educational Session

CPT 92507 Educational Session
Course Handouts
Highlights CPT 92507 Education Session
Recorded Session Now Available for OSLHA Members!
https://us06web.zoom.us/rec/share/r-45hVebEI22QAm4RCLDOu2Ug2UrzPeuY4h52vEAxGGnbbJ01M0juqyJmtgPh_9i.r_1XaDhNnvZ-kjcu
Passcode: OSLHAAdvocacy2026!
Please do not record, screenshot, or share this video without permission.
Ohio CPT 92507 Survey
The Ohio Speech-Language-Hearing Association (OSLHA) is launching a statewide survey to better understand how Ohio Speech‑Language Pathologists are using CPT code 92507 in their daily practice and to gather questions and concerns regarding potential changes.
Results will be used to help OSLHA identify professional development and educational needs, make informed decisions, advocate effectively, and proactively plan ahead.
Advocacy Archives
Hearing Aid Coverage for Children Up to 21 Years of Age
HB 152 (aka. Madeline’s Law) was recently amended into HB7, which is an Ohio House Bill that focuses on various aspects of maternal and infant health. It is very likely this bill will go to a House floor vote in the next few weeks.
A similar bill (HB152) has already passed the House and has been in the hands of the Senate for several months without any further attention/progress. In order for this coverage to be implemented, both the House & Senate must pass this initiative into law!
Therefore, we encourage OSLHA members to reach out to their Senators TODAY to request their urgent attention to HB152 before they break for the summer and campaign season. Please Consider this CALL TO ACTION! We are passionate about this issue because Ohioans need this support!!
Learn More About This Bill & Contact Your Senator at: https://www.legislature.ohio.gov/legislation/135/hb152
Federal Grant Funding for Policies that Support Developmental Disabilities
The Ohio Developmental Disabilities Council said it’s offering $216,000 in federal grant funding for projects to research and advocate for policies to support people with developmental disabilities. Among the projects the council is looking to support is an independent analysis of the effects seen in other states from eliminating 14(c) certificates, which are issued by the U.S. Department of Labor to enable an employer to pay sub-minimum wages to people
with disabilities. Reps. Dontavius Jarrells (D-Columbus) and Scott Lipps (R- Franklin) recently introduced legislation that would phase out the use of subminimum wage, HB427. A federal court in Ohio also recently upheld federal regulations that set a tougher standard for employers looking to use 14(c) certificates to pay subminimum wage.
The Ohio State Fair Increases Accessibility
Ensuring the Ohio State Fair welcomes Ohioans of all abilities remains a focus of our annual fair, Gov. Mike DeWine said in a statement last year.
“Inclusivity lies at the heart of it all in Ohio,” he said. “The accessibility of our Ohio State Fair allows Ohioans with disabilities to have equal opportunities to participate so that we do not leave anyone behind.”
Starting in 2023, the event now includes free wheelchair/mobility device charging stations, technology to connect people who are blind or have low vision to an agent who can help with navigation, American Sign Language interpretation, a dedicated sensory-friendly morning, and universal changing tables. It also continues to offer wheelchair accessible picnic tables, Accessible Play Area, Quite Room, Assisted Listening Devices and more…
Opportunities for Ohioans with Disabilities partnered with the State Fair to ensure changing stations are available in multiple locations throughout the fair. “Since fairgoers usually spend the entire day on the grounds, it’s important that charging stations are available to keep wheelchairs, scooters, and other mobility devices going strong,” OOD Director Kevin Miller said in a statement.
ASL will also be offered at multiple events and a sensory-friendly morning will be offered where Fairgoers will be able to ride the rides with no flashing lights or music. Check out the details and full fair offerings and plan to join us at the annual Ohio State Fair.
Ohio Dyslexia Screenings
Ohio children in kindergarten through third grade will be screened for dyslexia during the 2023-2024 school year. And schools must screen students in grades 4-6 if requested by parents or teachers. The reason for this change is because dyslexia is a spectrum and advocates suspect many children aren’t diagnosed. “It is said that about 85% of the kids that struggle with reading, they have dyslexia, and don’t know it,” said Mike McGovern, president of the Columbus branch of the International Dyslexia Association. The initial screening will be short, about five minutes, and it won’t confer a diagnosis of dyslexia, according to the Ohio Department of Education. Instead, the preliminary evaluation will flag children who “may be at risk of reading difficulties such as dyslexia.” These children will be given additional monitoring and interventions. For many students, this will be enough to get them reading, McGovern said. Others will need additional screening that could lead to a diagnosis and special education. Details on the progress of this effort can be found at: https://education.ohio.gov/Topics/Learning-in-Ohio/Literacy/Dyslexia
Autism Scholarship News
Parents who want to use a voucher for a child with autism will have an easier time. The state budget expanded the list of approved ways children can qualify for Ohio’s Autism Scholarship Program. Children can be identified by their school districts, those with Individual Education Plans that “include services related to autism” and students diagnosed as autistic by a physician or a psychologist.
“In short, any student formally diagnosed as autistic now qualifies for the Autism Scholarship,” according to Disability Rights Ohio. “This major change makes the scholarship accessible to many more families.”
Medicaid Reimbursement Rate Increases
We are thrilled to share one of OSHGAC’s largest successes this year, a lobbying collaboration OSLHA is happy to participate as a member of: Effective January 1, 2024, the Ohio Department of Medicaid has agreed to rate changes for our patients in need of speech and hearing services! OSHGAC worked directly with the Ohio Department of Medicaid to help our members and the patients they serve.
There are many speech and audiology related codes with rate increases. We want to highlight a few of the changes that may impact your practice.
- 92507 SPEECH/HEARING THERAPY 57.23
- 92508 SPEECH/HEARING THERAPY 20.87
- V5256 HEARING AID, DIGITAL, MONAURAL, ITE ($763.88)
- V5257 HEARING AID, DIGITAL, MONAURAL, BTE ($763.88)
- V5260 HEARING AID, DIGITAL, BINAURAL, ITE ($1,527.75)
- V5261 HEARING AID, DIGITAL, BINAURAL, BTE ($1,527.75)
Another very important and significant change is that the hearing aid rate will be the same for all Ohioans, regardless of age. Previously, adults hearing aid rates were reimbursed at 50% of children rates. This change will allow for better care and access for all! Complete List of Impacted Codes
We appreciate the Ohio Department of Medicaid’s efforts and support. We also recognize that there is more work to be done and look forward to partnering with them to increase rates for other codes.
Children & Infant Mortality Prevention
The “Strong Foundations Act” is being promoted to address Ohio’s abysmal maternal and infant mortality rates. Rep. Andrea White (R-Kettering) said Tuesday. “It’s risky business to have a baby in our state. Ohio has some of the worst infant and maternal mortality rates in the entire nation,” White told the House Finance Committee during sponsor testimony on HB7 (White-Humphrey). The bill was reported out of the House Families and Aging Committee in June, and some provisions of the bill were included in the recent state budget proposal. The bill is being considered by the House Finance Committee because it includes a $37.5 million appropriation in FY24 and an $18.5 million appropriation in FY25 for various programs to improve the health of mothers and infants throughout the state.
ASL Services Added to Ohio's Suicide & Crisis Prevention Lifeline
Ohio’s 988 Suicide and Crisis Lifeline has added American Sign Language services for deaf and hard of hearing callers.
To connect directly to a trained 988 Lifeline counselor in ASL, callers who are Deaf, DeafBlind, DeafDisabled, Hard of Hearing, or Late-Deafened
can click the “ASL Now” button on 988lifeline.org and follow the prompts.
Direct dialing to 988 from a videophone will be available in the coming weeks, and in the meantime, ASL callers can call 1-800-273-TALK (8255) from their videophone to reach ASL services.
Retroactive Corrections Being Accepted for Unintentional CCI Edit that Prevented Same-Day Billing of Videofluoroscopic Swallowing Study by SLPs and Radiologists
In a recent communication, CMS noted that corrections have been made to an unintentional edit that prevented same-day billing of 92611 and 74230. We are pleased to report that with the reversal of the CCI edit, Speech-Language Pathologists (SLPs) and Radiologists will once again be appropriately reimbursed for each distinctly different portion of their professional collaboration during the videofluoroscopic swallowing study (VFSS). Billing adjustments will be retroactive to January 1, 2020, and the wording will be implemented as soon as technically possible in a future edit update!!
CMS further clarified that claims for same-day billing of 92611 and 74230 must include a modifier to note that the services are separate and distinct. This means that claims for VFSS should include 92611 first on the claim, as the “column 1” code, followed by 74230 with the modifier -59 (or subcategory modifiers) appended. Additional information on the use of CCI-associated modifiers is available on ASHA’s website.
Effective January 1, 2020, the Centers for Medicare & Medicaid Services (CMS) implemented a new National Correct Coding Initiative (CCI) edit that prevents same-day billing of Current Procedural Terminology (CPT ® American Medical Association) codes 74230 (Radiologic examination, swallowing function, with cineradiography/videoradiography) and 92611 (Motion fluoroscopic evaluation of swallowing function by cine or video recording).
Speech-language pathologists (SLPs) typically collaborate with radiologists to perform the videofluorscopic swallowing study (VFSS), also called the modified barium swallowing (MBS) study. CPT codes 74230 and 92611 describe the work required to identify the medical diagnosis by the radiologist (74230) and to evaluate swallowing function by the SLP (92611). With the new CCI edit in place, SLPs and radiologists will not be appropriately reimbursed for each distinctly different portion of their professional collaboration during the VFSS.
ASHA is engaging with CMS and the contractor that manages the NCCI program to resolve this issue. In the meantime, ASHA recommends providers continue to submit same-day claims for 92611 and 74230. Because the new CCI edit lists 92611 as the “column 1” code, it should be placed first on the claim, followed by 74230. This means that 92611 should be processed for payment, but 74230 will be denied. If CMS reverses the CCI edit, all claims submitted since January 1, 2020, can be reprocessed for payment of 74230.
Background
The NCCI (or more commonly, CCI) is an automated edit system to control specific procedure code pairs that can or cannot be reported on the same day. CMS developed the system for use in all Medicare Part B (outpatient) and Medicaid claims. See CCI Edits for Speech-Language Pathology Services for additional information on same-day billing restrictions.
Become a Member!
Join our Membership Community Today!
- Full Membership (Speech & Audiology Professionals): $99
- Associate Membership (Allied Professions, Consumers, Clinical Fellows): $50
- Student Membership (Full-time CSD Students): $25
- Life Memberships Available to Lifetime Membership Participants
Benefits: Members receive significant discounts off OSLHA CE activities, member-exclusive online CE programming and accessibility to exceptionally priced professional liability insurance coverage, ALL Included in an annual membership. All memberships expire on June 30th.
