On April 1, 2023, the following speech therapy CPT codes will be added to the List of Procedures/DME Requiring Authorization for Highmark Blue Cross Blue Shield of Western New York Commercial members.
Please note: These codes will not require authorization for Highmark Blue Cross Blue Shield of Western New York Medicare Advantage members.
These codes will not appear on the authorizations list on the Provider Resource Center until April 1.
Procedure Code | Description |
92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual |
92508 | Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals |
92526 | Treatment of swallowing dysfunction and/or oral function for feeding |
An authorization request for these codes should be submitted through NaviNet® .
In 2022, the codes above may have previously been denied in error due to not having prior authorization. These claims will be reviewed and adjusted to process with no authorization required until April 1, 2023. You will not need to resubmit these claims for adjustments.
For more information about requesting prior authorization or viewing the current list, please visit the Provider Resource Center > CLAIMS, PAYMENT & REIMBURSEMENT > Procedures/Service Requiring Prior Authorization.