Billing and Coding: Home Health Speech-Language Pathology

Home health speech-language pathology services should be billed using HCPCS G0153 with patient contact time recorded and billed in 15-minute increments. Use ICD-10 R68.89 for memory disturbances not due to mental disorders (e.g., post-CVA); use CPT 92607 and 92609 for selection/prescription and adaptation/training of speech-generating devices, and CPT 92507 for speech/hearing treatment. Documentation must include device details and dates when Z-codes are used, time logs in 15-minute units, and supporting records for SGD services; other HCPCS codes in the article are informational only.

"Home health speech-language pathology services must be billed using HCPCS G0153 (Speech-Language Pathology)."

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