2025 CPT code 92526

Treatment of swallowing dysfunction and/or oral function for feeding.

This code should not be used for diagnostic evaluations of swallowing function. Separate codes exist for such evaluations.It should also not be reported in conjunction with evaluation and management services when the treatment is considered part of the E/M service.

Modifiers may be applicable to this code depending on the circumstances of the service.

Medical necessity is established by documenting the patient's swallowing dysfunction and how it impacts their ability to eat and drink safely and efficiently. It should be clear that the treatment is necessary to improve or maintain the patient's swallowing function and prevent complications like aspiration pneumonia or malnutrition.

The clinician responsible for this code (typically a speech-language pathologist) assesses the patient's swallowing function, identifies the cause of the dysfunction, and develops a treatment plan. They implement therapeutic interventions, monitor progress, and adjust the treatment as needed.

In simple words: This code describes treatment for swallowing problems, helping patients eat and drink more easily and safely.

This code represents the treatment of swallowing dysfunction (dysphagia) and/or oral function for feeding. It encompasses therapeutic interventions aimed at improving the patient's ability to swallow safely and efficiently.These interventions can include exercises, compensatory strategies, dietary modifications, and other techniques to address the underlying cause of the swallowing difficulty.

Example 1: A patient post-stroke experiences difficulty swallowing. The speech-language pathologist uses code 92526 for the treatment sessions addressing the swallowing disorder., A child with a developmental delay has problems with oral motor skills and feeding.Code 92526 is used for therapy sessions focusing on improving oral function for feeding., A patient with head and neck cancer undergoes radiation therapy, which affects their swallowing ability. The speech-language pathologist uses 92526 for the treatment sessions aimed at restoring safe and efficient swallowing.

Documentation should include the diagnosis, the specific treatment provided, the patient's response to treatment, and any changes in the treatment plan.It should also support the medical necessity of the treatment.

  • Revenue Code: P6C
  • Payment Status: Active
  • Specialties:Speech-Language Pathology, Otolaryngology
  • Place of Service:Inpatient Hospital, Outpatient Hospital, Skilled Nursing Facility, Office, Home,and other places of service where speech therapy is provided.
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