11/09/2026
Shared from OK Speech and Beyond Pediatric Therapy:
Beginning January 1, 2027, significant changes are coming to the way speech therapy services are billed and reimbursed. These changes could have a lasting impact on children’s access to speech therapy, particularly here in Pennsylvania!
We want our families to understand what is happening and why their voices matter.
WHAT IS CHANGING?
Currently, SLP’s use CPT code 92507 to bill for individual speech therapy sessions. This is an untimed code.
Beginning January 1, 2027, this code will be replaced by 10 new time-based CPT codes.
These codes are divided into five treatment categories:
• Fluency (including stuttering)
• Speech sound production (articulation and phonological disorders)
• Language comprehension and expression
• Combined speech sound and language disorders
• Voice, upper airway, and resonance disorders
While these codes provide more detail about the services being delivered, they also change how therapy time is reported and reimbursed.
SO, WHAT IS THE PEDIATRIC G-CODE?
Recognizing that the 10 new time-based codes may not adequately capture the unique demands of treating children, CMS finalized a separate pediatric speech therapy G-code (G0903).
Why does this matter?
Pediatric speech therapy is different from simply providing a set amount of treatment time. Working with children often requires specialized clinical skills, individualized treatment approaches, significant preparation, ongoing adjustments, caregiver education and the ability to engage children with complex developmental needs.
The pediatric G-code was developed to recognize the time and resources associated with providing these services to children.
WHY WE NEED OUR FAMILIES TO SPEAK UP
As of November 2026, PA Medicaid has not yet publicly clarified its final reimbursement rates or whether it will adopt the pediatric G-code.
These decisions matter.
Pennsylvania families, therapy providers, and children deserve to know that access to medically necessary services will remain a priority.
We encourage parents and community members to:
1. Contact PA legislators. Explain why access to affordable pediatric speech therapy matters to your family and community.
2. Contact your private insurance company. Ask how it plans to implement the new codes and
whether reimbursement will adequately support pediatric speech therapy services.
4. Share your story.
Contact local and state news outlets to help bring attention to how reimbursement decisions could affect children and families across PA.
5. Share this post. Help other families understand what is happening and why it matters.
This is bigger than a billing change. It is about protecting children’s access to the services they need.
We hope our families will join us in advocating for policies that make that possible!!!!
