CO · guidance
CO HCPF Speech Therapy Billing Manual — Coding Tables
CodingTables
Thefollowingplaceofservicecodesareallowed:
PlaceofService(POS)
CodeDescription
02
Telemedicine-notprovidedinpatient’shome.RefertotheTelemedicineBillingManual.
03
School-(non-public)servicesprovidedinorduringpublicschoolmustbebilledbytheschooldistrictonly
10
Telehealth-providedinpatient’shome.RefertotheTelemedicineBillingManual.
11
Office
12
Home
13
AssistedLivingFacility
99
Other-(CommunityBasedOrganization)
EffectiveMay3,2024,placeofservice03isanallowedplaceofserviceforallfee-for-servicebenefits.Inorderforcommunityproviderstobillfee-for-servicetochildreninaschoolsetting,theprovidermustfollowschooldistrictpolicy.PleasereferencetheCommunityProvidersinaSchoolSettingPolicymemo.
Telemedicineplaceofservice(POS)code02isavailableforspecificprocedurecodes.VisittheTelemedicine-ProviderInformationwebpageforalistofallowedprocedurecodes.
SpeechtherapyservicesprovidedatanOutpatientHospitalarereportedontheinstitutionalclaimtypeandarereimbursedaspartofthehospital'sEAPGpayment.InstitutionalclaimtypesdonothavethePOScodefield.
SpeechtherapyservicesprovidedataFederallyQualifiedHealthCenter(FQHC)arebilledaspartoftheencounterratefortheFQHC.Theyarenotbilledseparatelyonprofessionalclaims.
Ruleallowsforspeechtherapyservicestoberenderedatalocationof"CommunityBasedOrganization".SincethereisnoexactPOScodewhichalignswiththisdescription,POScode99shouldbereported.
NCCIMUEeditsstipulatemaximumdailyunitsforeachcode.VisittheNCCIwebpageforfurtherinformation.
ProvidersshouldreferenceofficialAMACPTresourcesforfulldescriptionsofcodesandinstructionforproperuse.
BacktoTop
EffectiveDecember1,2023,appropriatemodifiersrequiredonboththePARandclaimsubmission.Allclaimsmustincludethecorrectmodifier,regardlessofPARrequirements.
OutpatientTherapyType
Modifier1
Modifier2
RehabilitativeSpeechTherapy
GN
97
HabilitativeSpeechTherapy
GN
96
EarlyInterventionSpeechTherapy
GN
TL
BacktoTop
ProcedureCode
UnitLimitsMax#unitspermember,perprovider,perDOS
PriorAuthorizationRequired
Notes
92521
NCCIMUEvalue
No
92522
NCCIMUEvalue
No
92523
NCCIMUEvalue
No
92524
NCCIMUEvalue
No
92507
NCCIMUEValue(thisisanencounter-basedcodetobebilledatamaximumof1unitofserviceperday)
DoesnotrequireaPARforthefirst12sessions,requiresPARafter12sessionsareutilized.
92508
NCCIMUEValue(thisisanencounter-basedcodetobebilledatamaximumof1unitofserviceperday)
DoesnotrequireaPARforthefirst12sessions,requiresPARafter12sessionsareutilized.
92520
NCCIMUEValue
No
92526
NCCIMUEValue
DoesnotrequireaPARforthefirst12sessions,requiresPARafter12sessionsareutilized.
92597
NCCIMUEValue
No
92605
NCCIMUEValue
No
92606
NCCIMUEValue
No
92607
NCCIMUEValue
No
92608
NCCIMUEValue
No
92609
NCCIMUEValue
DoesnotrequireaPARforthefirst12sessions,requiresPARafter12sessionsareutilized.
92610
NCCIMUEValue
No
92611
NCCIMUEValue
No
92612
NCCIMUEValue
No
92614
NCCIMUEValue
No
92626
NCCIMUEValue
No
92627
NCCIMUEValue
No
96105
NCCIMUEValue
No
96111
NCCIMUEValue
No
96112
NCCIMUEValue
No
96113
NCCIMUEValue
No
G0515(Enddate12/31/2019)
NCCIMUEValue
No
97129
NCCIMUEValue
DoesnotrequireaPARforthefirst12sessions,requiresPARafter12sessionsareutilized.
97130
NCCIMUEValue
DoesnotrequireaPARforthefirst12sessions,requiresPARafter12sessionsareutilized.
97755
20perday,60perfiscalyear
Yes
Modifiers96or97arenotrequiredforthisprocedurecodeasthisevaluationcannotbeclassifiedaseither'rehabilitative'or'habilitative'.
Q3014
NCCIMUEValue
No
V5011
NCCIMUEValue
No
ForusewithColoradoHomeInterventionProgram
BacktoTop
Provenance
- Source
- hcpf.colorado.gov
- Retrieved
- 2026-07-26
- Edition
- 2026-07-26
- Content hash
27ab9c03bd0cc61e4000465d23ddbec58ca7fb63b76b554a4051601d8a4fcaab
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.