92507 with New York Medicaid (fee schedule): what the policy says
The short answerYes. New York Medicaid pays $40.31 for 92507 in a private office, with a 30 minute minimum session and the GN modifier. Written physician, PA or NP order, or an SLP referral, is required.
By Javier Alvarez · Updated · 1 min read
1 row: Medicaid (by state) · New York. Public policy, not the member's benefits.
New York Medicaid (fee schedule)
Rehabilitation Services Procedure Codes & Fee Schedule, version 2026-V1 · New York
| 92507 | Listed ($40.31 non-facility, 30 minute minimum session) [1] |
|---|---|
| 92521 | Listed ($116.41 non-facility) [1] |
| 92522 | Listed ($97.85 non-facility) [1] |
| 92523 | Listed ($198.17 non-facility) [1] |
| 92524 | Listed ($96.32 non-facility) [1] |
| 97530 | Listed ($18.05 per 15 minutes non-facility) [1] |
| Telehealth modifier | Therapy codes must carry GP for physical therapy, GO for occupational therapy or GN for speech-language pathology plans of care. ST marks a patient with traumatic brain injury. [1] |
| Visit limits | 92507 has a 30 minute minimum session length. [1] |
| Referral | Services must be ordered in writing by a physician, physician assistant or nurse practitioner. Speech therapy may instead be based on a written referral from a speech-language pathologist authorized by law. [1] |
| Who can bill | Visits in private practitioners' offices, hospital outpatient departments and diagnostic and treatment centers are covered. In any setting other than a private office, the therapist cannot bill Medicaid directly and is paid by the medical institution. [1] |
| Payment | January 2026 non-facility fees: 92507 $40.31, 92521 $116.41, 92522 $97.85, 92523 $198.17, 92524 $96.32, 97530 $18.05 per 15 minutes. Fees apply in a private office. [1] |
What New York Medicaid (fee schedule)'s policy says about 92507
92507 is the CPT code for treatment of speech, language, voice, communication and/or auditory processing disorder, individual. At New York Medicaid (fee schedule) it is listed: named in the payer's public policy. Each line below is from the cited text:
- Billed with. Therapy codes must carry GN for a speech-language pathology plan of care. (New York State Medicaid, checked October 30, 2026)
- When it pays. The session must last at least 30 minutes. (New York State Medicaid, checked October 30, 2026)
- Payment. The January 2026 non-facility fee for 92507 is $40.31. (New York State Medicaid, checked October 30, 2026)
92507 at other payers
The rest of New York Medicaid (fee schedule)'s pediatric speech and OT rules
The New York Medicaid (fee schedule) row has its codes, telehealth rule, limits and authorization, each with its source. Before the claim goes out, compare it with the row in the table above.