92526 for feeding and swallowing: OT and SLP

For OT and SLP owners and billers with child, adult or mixed caseloads: 92526 reports therapy for swallowing and the oral skills used in feeding, billed as one untimed unit a day. Medicare calls it always therapy, with GN under an SLP plan or GO under an OT plan. State boards and payers decide who may bill it.⁠^1,2,3,4,5

What does CPT 92526 cover, and how is it billed?

92526 reports a treatment session for swallowing function or for the oral skills a person uses to eat and drink, billed as one untimed unit per patient per day. Medicare’s claims manual has providers enter one unit for a code that is not defined by a time frame, and ASHA’s coding guidance says 92526 is not time-based and may be billed only once per day.⁠^1,7 In Medicare’s practitioner table of medically unlikely edits effective October 1, 2026, 92526 has a value of 1 with adjudication indicator 2, which CMS’s correct coding manual calls an absolute per-day edit based on policy that contractors do not override in processing, reopening or redetermination.⁠^2,6

On CMS’s therapy code list, 92526 is always therapy no matter which professional delivers it, so the claim carries GP, GO or GN to show the physical therapy, occupational therapy or speech-language pathology plan of care it was furnished under.⁠³ Medicare’s claims system tracks therapy amounts by those modifiers, and its 2026 KX threshold is $2,480 for PT and SLP together and a separate $2,480 for OT, so 92526 with GN counts toward the first amount and 92526 with GO toward the second.⁠^7,15 92526 is also on CMS’s 2026 multiple procedure payment reduction file, under which the practice expense part of the second and later therapy services a patient receives on one day is paid at 50 percent.⁠^15,16

CPT is owned by the American Medical Association, and CMS opens its correct coding chapters with the AMA’s copyright notice, so the code names on this page are plain-language summaries, not the AMA’s text.⁠¹⁷ The guide teaches the rules and decides no claim: the rules come from each payer’s policy and from the CPT and HCPCS codes current on the date of service, and a question about one patient’s claim belongs with that payer or a certified coder.

Which nearby codes describe a different service from 92526?

Evaluations, instrumental studies, self-care training, sensory integration and speech-language treatment each have codes of their own, and a session is reported with the code whose description matches what was done.⁠⁶ The table sets them beside 92526.

The line between them is what the session did. Medicare’s examples of occupational therapy include teaching a stroke patient new techniques to perform feeding and dressing, and building a device that lets a person hold a utensil and feed independently: training in the activity of eating.⁠²⁰ Its dysphagia coverage describes a different program, of oral-motor exercises, laryngeal and compensatory swallowing techniques, and positioning and diet changes, designed to keep oral feeding safe.⁠¹⁴ Group dysphagia treatment has no CPT code of its own; ASHA notes that some Medicare contractors’ local policies let SLPs use 97150 for it.⁠²¹

Can occupational therapists and SLPs both bill 92526?

Yes, where the state’s licensing law and the payer allow it: Medicare’s code list and modifiers record which plan of care a service was furnished under, not who is qualified to furnish it. The claims manual says the therapy modifiers do not allow a provider to deliver services they are not qualified and recognized by Medicare to perform, and Medicare’s rules for OTs and SLPs in private practice have each practice only within the scope of their state license.⁠^4,7,22

For speech-language pathology, ASHA’s scope of practice counts related feeding behaviors as part of swallowing and lists feeding among its service areas, and its pediatric guidance calls SLPs the preferred providers of dysphagia services.⁠^8,23 Medicare’s benefit manual defines speech-language pathology services to include the diagnosis and treatment of swallowing disorders regardless of a communication disability, and CMS’s correct coding manual names 92526 among the services SLPs may perform.⁠^17,20

For occupational therapy, AOTA says its practitioners play an essential part in helping clients of every age with feeding, eating and swallowing, supporting the skills for safe eating, and its 2025 position statement sets out the OT role and the profession’s own approaches to that work.⁠^9,24 AOTA’s 2026 list of frequently used OT codes includes 92526 and 92610, and warns that payers do not all accept every code and that state rules and payer policies come before billing.⁠⁵ Palmetto GBA’s billing and coding article for outpatient occupational therapy (A53064, revision effective October 1, 2026, for its Part A contracts in Jurisdictions J and M) lists 92526 and 92610 among its codes.⁠¹⁰ Part A contractors handle claims from institutional providers such as rehabilitation agencies, while an OT or SLP in private practice bills the Part B contractor, so read your own contractor’s articles as well.⁠⁷

Whichever discipline treats, Medicare’s dysphagia text asks for training: it says only qualified professionals with specific training and experience should evaluate and treat the disorder, and lists competencies such as identifying abnormal upper aerodigestive structure and function, recommending methods of oral intake and risk precautions, and building a treatment plan with compensations and therapy techniques.⁠²⁰ Record each clinician’s training against that list and the state board’s rules before a feeding caseload starts; the feeding and swallowing specialty guide covers competence records and state conditions on OT swallowing practice.

What must a Medicare plan of care hold before 92526 is billed?

A written plan with the diagnoses, the long-term goals, and the therapy’s type, amount, frequency and duration, set up before treatment starts by the OT or SLP who delivers it or by a physician or NPP.⁠²⁵ Part B pays for outpatient OT and SLP services furnished while the patient is under a physician’s care and under a written plan of treatment.⁠^4,22 The physician or NPP certifies the plan as soon as it is obtained or within 30 days of the first treatment, a certification covers the plan or 90 calendar days, whichever is less, and a progress report is written at least every 10 treatment days.⁠²⁵

Each discipline treats under its own plan. Medicare counts an episode of care per discipline, and its own example is a patient who develops a swallowing problem after surgery, whose first SLP treatment day starts a new episode of SLP care.⁠²⁵ Medicare lets an evaluation and treatment share a date of service or fall on separate visits.⁠²⁵

Can an OT assistant or SLP assistant furnish 92526 under Medicare?

An occupational therapy assistant can, where state rules allow, at a reduced payment; a speech-language pathology assistant cannot. For OT services furnished in whole or in part by an OTA, the claim carries CO paired with GO, and Medicare pays 85 percent of the otherwise applicable amount; parts the OTA furnishes independently that stay within 10 percent of the total service are not subject to the reduction.⁠^7,15 Medicare does not recognize speech-language pathology assistants, and their services billed as therapy are denied as not reasonable and necessary even where a state licenses them.⁠²⁰ ASHA advises checking each private plan’s provider qualifications, so ask the payer, and the state Medicaid manual, before an assistant sees a feeding patient.⁠¹⁸

Which ICD-10-CM codes support 92526 for children and adults?

The codes the evaluation supports: dysphagia by phase, pediatric feeding disorder, and for adults after a stroke, a stroke code from I69 paired with the phase. In the fiscal 2027 ICD-10-CM tabular list, the dysphagia codes run from R13.10, unspecified, through oral, oropharyngeal, pharyngeal and pharyngoesophageal phase (R13.11 to R13.14) to R13.19, other dysphagia.⁠¹³

For children, the feeding difficulties category R63.3 has four codes: R63.30 for unspecified difficulties, R63.31 and R63.32 for pediatric feeding disorder, acute and chronic, and R63.39 for other difficulties, which includes the term picky eater.⁠¹³ CMS’s fiscal 2027 conversion table dates all four to 2021, in place of R63.3, and takes October 1 as the effective date of each year it lists.⁠¹² The two pediatric feeding disorder codes carry a note to code also associated conditions such as dysphagia (R13.1-), aspiration pneumonia, reflux disease or malnutrition.⁠¹³ ASHA treats pediatric dysphagia and pediatric feeding disorder as separate diagnoses that may occur together.⁠²³

Two notes shape infant and eating-disorder cases. R63.3 lists eating disorders (F50.-) and feeding problems of newborn (P92.-) under an Excludes2 note, and P92 in turn sends feeding problems in a child over 28 days old to R63.3-; an Excludes2 note means the excluded condition is not part of the code, but a patient may have both and both codes may be used together.⁠¹³

For dysphagia after a stroke, I69.391, dysphagia following cerebral infarction, carries a note to use an additional code for the type of dysphagia, if known (R13.11 to R13.19), and R13.1 has coders code first, if applicable, the I69 code ending in 91 for dysphagia following cerebrovascular disease; parallel codes cover dysphagia after hemorrhages.⁠¹³ Medicare’s documentation rules expect a diagnosis where state and local law allow it, and give a stroke example in which the physician’s diagnosis is CVA and the treatment diagnosis is dysphagia for the SLP and hemiparesis for the OT.⁠²⁵

The diagnosis supports the service; it does not choose the procedure code. CMS’s correct coding manual says a code is not reported for a procedure it does not accurately describe, and that reporting the best-fit code is inappropriate unless it describes the service and all its components were performed.⁠⁶ A session that trained spoon use with adapted utensils, for a child with pediatric feeding disorder, matches the description of self-care training rather than swallowing treatment, whatever either code pays.

Which code fits the session: 92526, 97535, 97533 or 92507?

The code whose description matches what the clinician treated and the note records; when one visit holds two distinct services, each is coded only if it meets its own requirements and the edits allow the pair.⁠⁶ Run the worksheet before a new kind of feeding session is billed for the first time, and use the decision table for the common pictures.

Which codes can be billed with 92526 on the same day?

Speech treatment, the swallowing, speech and OT evaluations, self-care training and sensory integration, yes; the 97000 codes it bundles, only for a distinct, documented service; the electrical stimulation codes, never, on a practitioner claim. CMS’s procedure-to-procedure edits pair a column one and a column two code; when both are reported for one patient on one date, the column two code goes unpaid unless a clinically appropriate modifier is also reported.⁠¹¹ The practitioner file that took effect October 1, 2026 (version v323r0) sets out the therapy pairs with 92526 this way.⁠¹¹

CMS defines the indicator: with 0, no NCCI-associated modifier gets past the edit, and with 1, a modifier may when the circumstances are right; the correct coding manual adds that modifier 59 and the X modifiers are not used to bypass an edit unless their criteria are met, and the medical record has to show it.⁠⁶ The X modifiers are more specific than 59: XE for a separate encounter, XS for a separate structure, XP for a different practitioner and XU for a service that does not overlap the usual components of the main service.⁠⁶

For an SLP the 97000 pairs are not a modifier question. CMS’s correct coding manual states that SLPs do not perform the services described by 97110, 97112, 97150 and 97530, generally PT and OT work, and are not to report those codes as unbundled parts of 92507, 92508 or 92526.⁠¹⁷ ASHA adds that CMS staff have concluded SLPs should not report 97110 or 97112.⁠²⁷

For an OT who treats swallowing and then works on a functional task in the same visit, the manual’s physical medicine section says edits pairing a timed code with an untimed code may be bypassed with 59 or XU when the two procedures are performed in different time intervals, even if one follows the other in the same encounter.⁠¹⁷ The note then shows the 97530 minutes apart from the swallowing work; those minutes alone set the timed units, and the 92526 session counts only in the total treatment time.⁠^7,25

Electrical stimulation used during swallowing treatment is part of 92526. The manual says unattended stimulation (G0283) shall not be reported with 92526 for stimulation during the procedure and that the practitioner edit allows no modifier, while the same edit in the outpatient code editor for institutional claims does, because two practitioners in one facility might perform the services at different encounters.⁠¹⁷ The October 2026 hospital table accordingly gives the pairs of 92526 with 97032 and with G0283 indicator 1, where the practitioner table gives 0.⁠¹¹ ASHA reports that every Medicare contractor with a dysphagia local coverage determination pays 92526 only for treatment methods other than electrical stimulation, so the record has to document that other treatment.⁠¹

Can 92526 be billed with 92507 or an evaluation the same day?

Yes, under Medicare’s practitioner edits, when each service is distinct: the table that took effect October 1, 2026 contains no edit linking 92526 with 92507, with the swallowing evaluation 92610 or with the OT evaluation codes 97165 to 97168, and 92526, 92507 and 92610 are each limited to one unit a day.⁠^2,11 The same table puts 92610 in column two beside the instrumental studies 92611 and 92612, so a clinical evaluation on the day of a study needs a separate, documented reason.⁠¹¹

From January 1, 2027, 92507 gives way to ten time-based treatment codes.⁠¹⁹ ASHA’s guidance says three things: the new codes may sit on a claim beside swallowing codes when every requirement is met and the record shows separate, distinct services; the same treatment time cannot be counted toward more than one service; and payer edits, including NCCI and MUE requirements it expects in the last quarter of 2026, may also affect same-day reporting.⁠²⁶

No edit does not mean no rule. The manual expects practitioners to code correctly even where no edit exists, and CMS says an MUE, or the lack of one, does not indicate whether a code is covered.⁠^6,17 ASHA reminds SLPs that payers other than Medicare may adopt similar policies, so read each payer’s rules on a pair before billing it.⁠²⁷

How do Medicaid and private plans handle pediatric feeding therapy?

Through EPSDT for children in Medicaid and through each plan’s written policy for children with private insurance, with the state’s rules or the plan’s policy settling which discipline may bill 92526.⁠⁵ EPSDT covers children under 21 enrolled in Medicaid, and states must furnish 1905(a) services found medically necessary to treat or correct a condition, even when the state plan does not list them, with each state judging medical necessity child by child.⁠²⁸ Federal Medicaid rules treat OT as a service a physician or other licensed practitioner prescribes, and speech, hearing and language services as ones the patient is referred for, so collect the order or referral your state requires before the first visit.⁠²⁹

Look up in the state’s Medicaid provider manual and fee schedule whether an OT may bill 92526, which modifiers the state wants and whether it pays per unit or per visit, and keep a dated copy with the claim file. The EPSDT guide covers requests and denials for children in Medicaid.

Private plans publish their own rules. UnitedHealthcare’s commercial habilitation and rehabilitation therapy policy (MP.026.27, effective July 1, 2026) lists 92526 and 92610 among its codes while stating that listing a code does not imply coverage and that the member’s benefit plan document decides benefits.⁠³⁰ For feeding and swallowing evaluations, it asks for the case history, medical records, a physical examination, earlier screenings and assessments and collaboration with other providers and caregivers, and expects the assessment to produce findings such as a description of swallowing function, a swallowing disorder diagnosis or the safest route of nutrition.⁠³⁰ For any other plan, ask for its therapy policy by name and keep the copy with the date.

Infants change codes as they age: the newborn feeding codes (P92) cover the first 28 days, and R63.3 takes over after that, so a baby referred at 3 weeks and seen again at 6 weeks may carry different diagnosis codes.⁠¹³ For babies and toddlers also served by a state early intervention program, the infant development programs guide covers working alongside it, and families can read about feeding therapy in DrSensory’s feeding therapy guide.

How is adult dysphagia after a stroke billed to Medicare?

Under Part B with a certified plan of care: 92526 with GN for the SLP’s swallowing treatment, and the KX modifier once the year’s PT and SLP amounts pass the threshold.⁠^3,15 Medicare’s national coverage determination says speech-language pathology services are covered for dysphagia regardless of a communication disability, names head trauma, stroke, neuromuscular degenerative disease, head and neck cancer and encephalopathies among its causes, and notes that it most often appears among the elderly.⁠¹⁴ It describes appropriate candidates as motivated, moderately alert and with some degree of swallowing function, and asks that every program be designed to keep oral feeding safe and nutrition adequate.⁠¹⁴

The benefit manual lists stroke with dysphagia, and neurological disease such as Parkinsonism or multiple sclerosis with dysphagia, among the disorders that may need active rehabilitative therapy, and adds that professional guidelines recommend team care, with the radiological examination supervised by a physician or NPP.⁠²⁰ When a study is needed, the SLP’s part of a videofluoroscopic study is 92611 and the radiologist’s is 74230.⁠¹⁸ Families read about swallowing problems in DrSensory’s dysphagia guide.

For 2026, claims above $2,480 for PT and SLP combined, or $2,480 for OT, are denied without the KX modifier, which confirms the services are medically necessary, as the record’s documentation shows, and claims past $3,000 in either group may be chosen for targeted medical review.⁠¹⁵ An adult who sees a PT for walking and an SLP for swallowing reaches the shared PT and SLP amount sooner than one who sees an SLP alone, because the two disciplines share it.⁠¹⁵

Progressive disease does not end coverage when improvement stops. Medicare covers a qualified therapist’s design of a maintenance program to keep current function or slow decline, and covers skilled delivery of that program when the patient’s condition makes a therapist’s skill necessary for safe and effective care.⁠²⁵

Medicare Advantage plans may require prior authorization. Federal rules let a coordinated care plan use it only to confirm the diagnoses or criteria behind a coverage decision or to ensure medical necessity, and once a plan approves a service through prior authorization it cannot turn around and deny it as not medically necessary, unless it has good cause or reliable evidence of fraud.⁠³¹ The Medicare therapy coverage guide explains these rules for patients and families.

What should a 92526 treatment note and progress report show?

The treatment named in words a reviewer can match to 92526, the total treatment time, the patient’s response, and progress against the plan’s swallowing goals. Medicare’s treatment note needs four things: the date; every intervention given and billed, timed or untimed, named so a reviewer can check it against the claim; total timed code minutes beside total treatment time; and the clinician’s signature and credentials.⁠²⁵ Untimed codes count in total treatment time, so a 45-minute 92526 session adds 45 minutes to it and none to the timed minutes.⁠^7,25

Medicare’s own progress report example is a dysphagia case after a stroke: the plan sets three 45-minute sessions a week for six weeks with a long-term goal of a mechanical soft diet and thin liquids without aspiration pneumonia, the report shows each short-term goal’s progress and adds a new goal, and the manual notes that the provider bills 92526 three times a week, consistent with the plan, with progress and skilled treatment documented.⁠²⁵

Private plans can ask for more. UnitedHealthcare’s policy has every treatment note include the specific treatments provided matching the CPT codes billed, an accurate length of the session, the patient’s response and progress toward goals in objective, measurable terms.⁠³⁰

Food trials and diet changes belong in the plan and the notes. The national coverage determination asks that programs ensure swallowing safety during oral feedings, and Medicare lists recommending methods of oral intake and risk precautions among the competencies of the professional treating dysphagia; the physician or NPP certifies the plan that sets them.⁠^14,20,25

What should you ask a payer before feeding therapy begins?

Whether the plan pays 92526 to your discipline, what it requires before and during care, and how it wants the claim coded, with each answer logged by name, date and reference number. AOTA advises confirming an insurer’s payment policy before billing, and ASHA tells SLPs that the final word on coverage and coding comes from the payer.⁠^5,32 The payment explanation guide covers telling the family what the answers mean for them.

The full code map for each discipline is in the OT procedure codes guide and the speech therapy CPT codes guide.

How are a toddler’s and a stroke survivor’s sessions coded?

From what each visit did, as these hypothetical cases show; the ages, payers and findings are inputs, not rules.

Sources

1. American Speech-Language-Hearing Association. Dysphagia Treatment with Electrical Stimulation: Coding and Coverage Considerations (ASHA coding guidance). Checked October 25, 2026.
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   “CPT 92526 (dysphagia treatment session) is not time-based and may be billed only once per day.”; “Every Medicare Administrative Contractor (MAC) that has established a dysphagia local coverage determination (LCD) has ruled that while payment is allowed only for non-e-stim methods of treatment, e-stim treatment can also be used. For payment under 92526, the record must document the provision of non-e-stim treatment.”; “Medicare Correct Coding Initiative (CCI) edits automatically deny payment of CPT 97032 when billed on the same day as CPT 92526 and performed by speech-language pathologists.”.
2. Centers for Medicare & Medicaid Services. Medicare NCCI Medically Unlikely Edits (MUEs) (with the Practitioner Services MUE Table effective October 1, 2026, posted September 1, 2026). Checked October 25, 2026.
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   “An MUE is the maximum units of service (UOS) reported for a HCPCS/CPT code on the vast majority of appropriately reported claims by the same provider/supplier for the same beneficiary on the same date of service. Not all HCPCS/CPT codes have an MUE.”; “92526,1,2 Date of Service Edit: Policy,Anatomic Consideration”. The second passage is the table row for 92526: code, practitioner MUE value, MUE adjudication indicator, rationale. The same table gives 92507, 92521 to 92524, 92610, 92611, 92612 and 97165 to 97168 a value of 1.
3. Centers for Medicare & Medicaid Services. 2026 Therapy Code List and Dispositions (ZIP) (CY 2026 list of codes that sometimes or always describe therapy services, linked from CMS’s Annual Therapy Update page, last modified March 4, 2026). Checked October 25, 2026.
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   “These codes are “always therapy” services, regardless of who performs them.”; “These codes always require a therapy modifier − GP, GO, or GN − to indicate that they’re furnished under a physical therapy, occupational therapy, or speech-language pathology plan of care, respectively.”; “These HCPCS/CPT codes represent “sometimes therapy” services. However, these codes are “always therapy” services when furnished by a therapist”. The first two passages define disposition 5, the third disposition 7. In the code list tab, 92526, 92507, 97530, 97533 and 97535 are marked with disposition 5, the evaluation codes 92521 to 92524 and 97165 to 97168 with dispositions 5 and 9, and 92610, 92611 and 92612 with disposition 7.
4. Electronic Code of Federal Regulations. 42 CFR 410.59, Outpatient occupational therapy services: Conditions (read through the eCFR versioner as of October 22, 2026). Checked October 25, 2026.
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   “They are furnished to a beneficiary while he or she is under the care of a physician who is a doctor of medicine, osteopathy, or podiatric medicine.”; “They are furnished under a written plan of treatment that meets the requirements of § 410.61.”; “Be legally authorized (if applicable, licensed, certified, or registered) to engage in the private practice of occupational therapy by the State in which he or she practices, and practice only within the scope of his or her license, certification, or registration.”.
5. American Occupational Therapy Association. 2026 Frequently Used CPT and HCPCS Codes for Occupational Therapy (AOTA coding list, codes effective January 1, 2026; code descriptors © 2026 American Medical Association). Checked October 25, 2026.
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   “The following CPT® and HCPCS G codes are frequently used by occupational therapy practitioners (OTPs) to report skilled services.”; “Not all codes are accepted by all payers. Always review state rules, consult the CPT® manual, and confirm payment policies with insurers prior to billing.”; “SPECIAL OTORHINOLARYNGOLOGIC SERVICES”. The list includes 92526 under that heading and 92610 and 92611 among its evaluative services; it gives 97530, 97533 and 97535 descriptors that end “each 15 minutes” and gives 92526 no unit of time.
6. Centers for Medicare & Medicaid Services. NCCI Policy Manual for Medicare Services, Chapter I, General Correct Coding Policies (revision date January 1, 2026; sections E, Modifiers and Modifier Indicators, T, Unlisted Procedure Codes, and V, Medically Unlikely Edits). Checked October 25, 2026.
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   “A CCMI of “0” indicates that NCCI PTP-associated modifiers cannot be used to bypass the edit . A CCMI of “1” indicates that NCCI PTP-associated modifiers may be used to bypass an edit under appropriate circumstances.”; “Modifiers 59 or XE, XP, XS, XU, and other NCCI PTP-associated modifiers shall NOT be used to bypass an NCCI PTP edit unless the proper criteria for use of the modifier are met. Documentation in the medical record must satisfy the criteria required by any NCCI PTP-associated modifier used.”; “Separate Encounter, A service that is distinct because it occurred during a separate encounter.”; “Separate Structure, A service that is distinct because it was performed on a separate organ/structure”; “Separate Practitioner, A service that is distinct because it was performed by a different practitioner”; “Unusual Non-Overlapping Service, the use of a service that is distinct because it does not overlap usual components of the main service”; “A physician shall not report a CPT code for a specific procedure if it does not accurately describe the service performed. It is inappropriate to report the best fit HCPCS/CPT code unless it accurately describes the service performed, and all components of the HCPCS/CPT code were performed.”; “These modifiers were developed to provide greater reporting specificity in situations where modifier 59 was previously reported and may be used in lieu of modifier 59 whenever possible.”; “MUEs for HCPCS codes with an MAI of “2” are absolute date of service edits. These are “per day edits based on policy.””; “claims processing contractors are instructed that an MAI of “2” denotes a claims processing restriction for which override during processing, reopening, or redetermination would be contrary to CMS policy.”; “An MUE or the lack of an MUE, does not necessarily indicate coverage status of a HCPCS/CPT code.”.
7. Centers for Medicare & Medicaid Services. Medicare Claims Processing Manual, Chapter 5, Part B Outpatient Rehabilitation and CORF/OPT Services (§§20, 20.1 and 20.2). Checked October 25, 2026.
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   “Providers of outpatient physical therapy and speech-language pathology services (OPTs), also known as rehabilitation agencies”; “The following practitioners must bill the A/B MAC (B) for outpatient rehabilitation therapy services using HCPCS/CPT codes:”; “Occupational therapists in private practice (OTPPs),”; “Speech-language pathologists in private practice (SLPPs),”; “When limitations are in effect, the CWF tracks the financial limitation based on the presence of therapy modifiers.”; “These modifiers do not allow a provider to deliver services that they are not qualified and recognized by Medicare to perform.”; “GN Services delivered under an outpatient speech-language pathology plan of care;”; “GO Services delivered under an outpatient occupational therapy plan of care; or,”; “CO modifier: Outpatient occupational therapy services furnished in whole or in part by an occupational therapy assistant”; “The CQ modifier must be paired to the GP therapy modifier and the CO modifier with the GO therapy modifier.”; “When reporting service units for HCPCS codes where the procedure is not defined by a specific timeframe (“untimed” HCPCS), the provider enters “1” in the field labeled units.”; “Total treatment minutes - including minutes spent providing services represented by untimed codes - are also documented.”. The first passage is from §20’s list of providers of services that bill the A/B MAC (A).
8. American Speech-Language-Hearing Association. Scope of Practice in Speech-Language Pathology (ASHA policy document). “Swallowing includes all aspects of swallowing, including related feeding behaviors.”; “Service delivery areas include all aspects of communication and swallowing and related areas that impact communication and swallowing: speech production, fluency, language, cognition, voice, resonance, feeding, swallowing, and hearing.”. Checked October 25, 2026.
9. American Occupational Therapy Association. Occupational therapy and feeding, eating, and swallowing (AOTA clinical topics page). “Occupational therapy practitioners play a crucial role in addressing feeding, eating, and swallowing challenges for clients across the lifespan. Occupational Therapy interventions support the skills needed for safe and effective eating and swallowing.”. Checked October 25, 2026.
10. Palmetto GBA, in the Centers for Medicare & Medicaid Services Medicare Coverage Database. Billing and Coding: Outpatient Occupational Therapy (A53064) (billing and coding article for Part A contracts in Jurisdiction J (Alabama, Georgia, Tennessee) and Jurisdiction M (North Carolina, South Carolina, Virginia, West Virginia); revision effective October 1, 2026). Checked October 25, 2026.
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    “The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for Outpatient Occupational Therapy L34427.”; “Group 1 (84 Codes)”. Its Group 1 CPT/HCPCS codes include 92526 and 92610.
11. Centers for Medicare & Medicaid Services. Medicare NCCI Procedure to Procedure (PTP) Edits (page last modified September 1, 2026, with the 2026 Quarter 4 edit files effective October 1, 2026: Practitioner PTP Edits v323r0 and Hospital PTP Edits v323r0, file 4 of each). Checked October 25, 2026.
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    “If a provider reports the two codes of an edit pair for the same beneficiary on the same date of service, the Column One code is eligible for payment, but the Column Two code is denied unless a clinically appropriate NCCI PTP-associated modifier is also reported.”; “Practitioner PTP Edits v323r0 (612,539 Records) 62292/01912 -- U0003/U0004 - Effective Oct. 1, 2026; Posted September 2, 2026”. In the practitioner file (ccipra-v323r0-f4.txt), the edits in effect with 92526 as the column one code include 97110, 97112, 97150 and 97530 with modifier indicator 1, and 97032 and G0283 with modifier indicator 0; 92610 is the column two code under 92611 and 92612 with indicator 1; the file has no edit pairing 92526 with 92507, 92521 to 92524, 92610, 97533, 97535 or 97165 to 97168. In the hospital file (ccioph-v323r0-f4.txt), 92526 over 97032 and over G0283 carries modifier indicator 1. In each file a modifier indicator of 0 means not allowed and 1 allowed.
12. Centers for Medicare & Medicaid Services. 2027 Conversion Table (ZIP) (ICD-10-CM Conversion Table FY 2027, October 1, 2026 update). Checked October 25, 2026.
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    “For each new code the table shows the effective date and its previously assigned code equivalent in bold. Unless otherwise specified the code effective date is October 1 of the year listed.”; “R63.30,2021,R63.3”; “R63.31,2021,R63.3”; “R63.32,2021,R63.3”; “R63.39,2021,R63.3”. The last four passages are table rows: current code, effective year, previous code.
13. Centers for Medicare & Medicaid Services. 2027 Code Tables, Tabular and Index (ZIP) (the FY 2027 ICD-10-CM Tabular List, file icd10cm_tabular_2027.xml, effective October 1, 2026). Checked October 25, 2026.
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    “Dysphagia, unspecified”; “Dysphagia, oral phase”; “Dysphagia, oropharyngeal phase”; “Dysphagia, pharyngeal phase”; “Dysphagia, pharyngoesophageal phase”; “Other dysphagia”; “dysphagia following cerebrovascular disease (I69. with final characters -91)”; “Feeding difficulties”; “eating disorders (F50.-)”; “feeding problems of newborn (P92.-)”; “Feeding difficulties, unspecified”; “Pediatric feeding disorder, acute”; “Pediatric feeding disorder, chronic”; “aspiration pneumonia (J69.0)”; “dysphagia (R13.1-)”; “gastro-esophageal reflux disease (K21.-)”; “malnutrition (E40-E46)”; “Other feeding difficulties”; “Picky eater”; “Feeding problems of newborn”; “feeding problems in child over 28 days old (R63.3-)”; “Dysphagia following cerebral infarction”; “code to identify the type of dysphagia, if known (R13.11-R13.19)”; “An excludes2 note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When an Excludes2 note appears under a code it is acceptable to use both the code and the excluded code together.”. The passages are, in turn: the titles of R13.10, R13.11, R13.12, R13.13, R13.14 and R13.19; the Code First note under R13.1, Dysphagia; the title of R63.3 and two items of its Excludes2 note; the titles of R63.30, R63.31 and R63.32; four items of the Code Also note under R63.31 and R63.32; the title of R63.39 and one of its inclusion terms; the title of P92 and its Excludes2 note; the title of I69.391 and its Use Additional Code note; and the Tabular List’s instruction on Excludes2 notes. Parallel codes I69.091, I69.191, I69.291, I69.891 and I69.991 cover dysphagia following other cerebrovascular disease.
14. Centers for Medicare & Medicaid Services. Medicare National Coverage Determinations Manual, Chapter 1, Part 3 (§170.3, Speech-Language Pathology Services for the Treatment of Dysphagia, effective October 1, 2006). Checked October 25, 2026.
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    “Dysphagia may be the result of head trauma, cerebrovascular accident, neuromuscular degenerative diseases, head and neck cancer, or encephalopathies. While dysphagia can afflict any age group, it most often appears among the elderly. Speech-language pathology services are covered under Medicare for the treatment of dysphagia, regardless of the presence of a communication disability.”; “Patients who are motivated, moderately alert, and have some degree of deglutition and swallowing functions are appropriate candidates for dysphagia therapy.”; “Elements of the therapy program can include thermal stimulation to heighten the sensitivity of the swallowing reflex, exercises to improve oral-motor control, training in laryngeal adduction and compensatory swallowing techniques, and positioning and dietary modifications. Design all programs to ensure swallowing safety of the patient during oral feedings and maintain adequate nutrition.”.
15. Centers for Medicare & Medicaid Services. Therapy Services (page last modified March 10, 2026). Checked October 25, 2026.
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    “the law preserves the former therapy cap amounts as thresholds above which claims must include the KX modifier as a confirmation that services are medically necessary as justified by appropriate documentation in the medical record.”; “there is one amount for PT and SLP services combined and a separate amount for OT services.”; “Claims for services over the KX modifier threshold amounts without the KX modifier are denied.”; “For CY 2026 this KX modifier threshold amount is:”; “$2,480 for PT and SLP services combined, and”; “$2,480 for OT services.”; “the MR threshold is $3,000 for PT and SLP services and $3,000 for OT services. The targeted MR process means that not all claims exceeding the MR threshold amount are subject to review as they once were.”; “Medicare applies a MPPR to the practice expense component of certain “always therapy” services. Since April 1, 2013, the MPPR rate is 50 percent for both practitioner/office and institutional settings. It applies to the second and subsequent therapy services provided to a patient on the same day.”; “Payment for these services is at 85 percent of the otherwise applicable PFS payment amount/rate for the service, effective January 1, 2022.”; “portions of a service furnished by the PTA/OTA independent of the physical therapist/ occupational therapist (PT/OT), as applicable, that do not exceed 10 percent of the total service are not subject to the payment reduction”; “section 6209 of the Consolidated Appropriations Act, 2026 that extended the ability of PTs, OTs, and SLPs to furnish Telehealth Services”; “through December 31, 2027”. The 85 percent passage concerns PT and OT services furnished in whole or in part by physical therapist assistants and occupational therapy assistants.
16. Centers for Medicare & Medicaid Services. MPPR Rate File 2026 (ZIP) (the multiple procedure payment reduction rate file listed in the Downloads section of CMS’s Therapy Services page, updated February 24, 2026). Checked October 25, 2026.
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    “Multiple Procedure Payment Reduction Rate File for 2026”; “CODE,SHORT DESCRIPTOR,CARRIER,LOCALITY,FEE AMOUNT,50% REDUCTION,PRACTICE EXPENSE RVUs”. The 2026 file lists 92526 among its codes, with 92507, 92521 to 92524, 97530, 97533 and 97535; 92610 is not in it.
17. Centers for Medicare & Medicaid Services. NCCI Policy Manual for Medicare Services, Chapter XI, Medicine, Evaluation and Management Services, CPT Codes 90000-99999 (revision date January 1, 2026; sections H, Otorhinolaryngologic Services, and P, Physical Medicine and Rehabilitation). Checked October 25, 2026.
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    “Current Procedural Terminology (CPT) codes, descriptions and other data only are copyright 2025 American Medical Association. All rights reserved.”; “Speech language pathologists may perform services coded as CPT codes 92507, 92508, or 92526. They do not perform services coded as CPT codes 97110, 97112, 97150, or 97530 which are generally performed by physical or occupational therapists. Speech language pathologists shall not report HCPCS/CPT codes 97110, 97112, 97150, 97530, as unbundled services included in the services coded as 92507, 92508, or 92526.”; “shall not be reported with CPT code 92526 for electrical stimulation during the procedure. The NCCI PTP edit (92526/G0283) for MACs does not allow use of NCCI PTP-associated modifiers with this edit because the same provider would never perform both of these services on the same date of service. However, the same edit in OCE for MACs does allow use of NCCI PTP-associated modifiers because 2 separate practitioners in the same outpatient hospital facility or institutional therapy provider might perform the 2 procedures for different purposes at different patient encounters on the same date of service.”; “Some NCCI PTP edits pair a “timed” CPT code with another “timed” CPT code or a non-timed CPT code. These edits may be bypassed with modifier 59 or XU if the 2 procedures of a code pair edit are performed in different timed intervals even if sequential during the same patient encounter.”; “Physicians are expected to code correctly even in the absence of NCCI PTP edits.”. The third passage is the end of item H.4, whose subject is HCPCS code G0283, unattended electrical stimulation.
18. American Speech-Language-Hearing Association. Coding for Reimbursement Frequently Asked Questions: Speech-Language Pathology (ASHA coding FAQ). Checked October 25, 2026.
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    “The CPT code for the fiberoptic endoscopic evaluation of swallowing (FEES) is 92612”; “The procedure code for a clinical swallowing evaluation is CPT 92610. CPT 92611 is the procedure represents the speech-language pathologist’s participation in the MBS or videofluoroscopy. A separate radiology procedure code, CPT 74230 covers the services of the radiologist and the radiology technician.”; “For private health plans, check with the payer in question to determine their provider qualifications.”; “Under Medicare, services provided by speech-language pathology assistants are not considered medically necessary and therefore are not reimbursable.”.
19. American Speech-Language-Hearing Association. Speech-Language Pathology Treatment Codes Replacing 92507 (ASHA coding resource). Checked October 25, 2026.
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    “CPT code 92507 remains in effect through December 31, 2026. The new codes take effect January 1, 2027. Clinicians should not report the new codes before their effective date and should verify implementation requirements with each payer, as they may vary.”; “Beginning January 1, 2027, Current Procedural Terminology (CPT®) code 92507 will be replaced by a new family of 10 speech-language pathology treatment codes. The new codes describe individual treatment by clinical service and use a time-based structure consisting of a base and add-on codes.”.
20. Centers for Medicare & Medicaid Services. Medicare Benefit Policy Manual, Chapter 15, Covered Medical and Other Health Services (§230.2, Practice of Occupational Therapy, and §230.3, Practice of Speech-Language Pathology, revised January 16, 2025). Checked October 25, 2026.
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    “Teaching a stroke patient new techniques to enable the patient to perform feeding, dressing, and other activities as independently as possible; or”; “constructing a device which would enable an individual to hold a utensil and feed independently”; “Speech-language pathology services are those services provided within the scope of practice of speech-language pathologists and necessary for the diagnosis and treatment of speech and language disorders, which result in communication disabilities and for the diagnosis and treatment of swallowing disorders (dysphagia), regardless of the presence of a communication disability.”; “Services of speech-language pathology assistants are not recognized for Medicare coverage. Services provided by speech-language pathology assistants, even if they are licensed to provide services in their states, will be considered unskilled services and denied as not reasonable and necessary if they are billed as therapy services.”; “Cerebrovascular disease such as cerebral vascular accidents presenting with dysphagia, aphasia/dysphasia, apraxia, and dysarthria;”; “Neurological disease such as Parkinsonism or Multiple Sclerosis with dysarthria, dysphagia, inadequate respiratory volume/control, or voice disorder; or”; “It is most often due to complex neurological and/or structural impairments including head and neck trauma, cerebrovascular accident, neuromuscular degenerative diseases, head and neck cancer, dementias, and encephalopathies. For these reasons, it is important that only qualified professionals with specific training and experience in this disorder provide evaluation and treatment.”; “Professional guidelines recommend that the service be provided in a team setting with a physician/NPP who provides supervision of the radiological examination and interpretation of medical conditions revealed in it.”; “Competencies include but are not limited to: identifying abnormal upper aerodigestive tract structure and function; conducting an oral, pharyngeal, laryngeal and respiratory function examination as it relates to the functional assessment of swallowing; recommending methods of oral intake and risk precautions; and developing a treatment plan employing appropriate compensations and therapy techniques.”. The first two passages are §230.2’s examples of occupational therapy; the rest are from §230.3, the last four from its subsection on dysphagia.
21. American Speech-Language-Hearing Association. Medicare Guidelines for Group Therapy: Speech-Language Pathology Services (ASHA coding guidance; Coding Considerations). Checked October 25, 2026.
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    “There are no CPT codes that describe group therapy for other disorders, such as dysphagia or cognition.”; “Some LCDs may also allow speech-language pathologists to use CPT code 97150”; “to describe group therapy for other disorders, such as dysphagia.”. The last two passages are one sentence, with the code descriptor ASHA places between them left out.
22. Electronic Code of Federal Regulations. 42 CFR 410.62, Outpatient speech-language pathology services: Conditions and exclusions (read through the eCFR versioner as of October 22, 2026). Checked October 25, 2026.
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    “They are furnished to a beneficiary while he or she is under the care of a physician who is a doctor of medicine or osteopathy.”; “Be legally authorized (if applicable, licensed, certified, or registered) to engage in the private practice of speech-language pathology by the State in which he or she practices, and practice only within the scope of his or her license and/or certification.”.
23. American Speech-Language-Hearing Association. Pediatric Feeding and Swallowing (ASHA Practice Portal, clinical topics; Overview). “This page covers pediatric dysphagia and pediatric feeding disorder (PFD). These are separate diagnoses but may co-occur.”; “Speech-language pathologists (SLPs) are the preferred providers of dysphagia services and are integral members of an interprofessional team.”. Checked October 25, 2026.
24. American Occupational Therapy Association. Feeding, Eating, and Swallowing Approaches in Occupational Therapy (AOTA Position Statement, American Journal of Occupational Therapy, 2025;79(Suppl 3):7913410220, doi:10.5014/ajot.2025.79S305, PMID 41417968; abstract read through the NCBI record, and listed as an official document on AOTA’s feeding, eating and swallowing page). Checked October 25, 2026.
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    “This AOTA Position Statement defines the role of occupational therapy practitioners and describes their distinct approaches and value in the delivery of occupational therapy services for people with feeding, eating, and swallowing impairments and performance limitations.”.
25. Centers for Medicare & Medicaid Services. Medicare Benefit Policy Manual, Chapter 15, Covered Medical and Other Health Services (§220, Coverage of Outpatient Rehabilitation Therapy Services; chapter revision 13889, issued July 30, 2026). Checked October 25, 2026.
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    “an outpatient therapy episode is defined as the period of time, in calendar days, from the first day the patient is under the care of the clinician (e.g., for evaluation or treatment) for the current condition(s) being treated by one therapy discipline (PT, or OT, or SLP) until the last date of service for that discipline in that setting.”; “If that same patient developed a swallowing problem during intubation for the hip surgery, the first day of treatment by the SLP would be a new episode of SLP care.”; “The plan, (also known as a plan of care or plan of treatment) must be established before treatment is begun.”; “The occupational therapist who will provide the occupational therapy services; or”; “The speech-language pathologist who will provide the speech-language pathology services.”; “The evaluation and treatment may occur and are both billable either on the same day or at subsequent visits.”; “Diagnoses;”; “Long term treatment goals; and”; “Type, amount, duration and frequency of therapy services.”; “or 90 calendar days from the date of the initial treatment, whichever is less.”; “the physician/NPP shall certify the initial plan as soon as it is obtained, or within 30 days of the initial therapy treatment.”; “If the specialized skill, knowledge and judgment of a qualified therapist are required to establish or design a maintenance program to maintain the patient’s current condition or to prevent or slow further deterioration, the establishment or design of a maintenance program by a qualified therapist is covered.”; “skilled therapy services are covered when an individualized assessment of the patient’s clinical condition demonstrates that the specialized judgment, knowledge, and skills of a qualified therapist are necessary for the performance of safe and effective services in a maintenance program.”; “A diagnosis (where allowed by state and local law) and description of the specific problem(s) to be evaluated and/or treated.”; “For example the medical diagnosis made by the physician is CVA; however, the treatment diagnosis or condition description for PT may be abnormality of gait, for OT, it may be hemiparesis, and for SLP, it may be dysphagia.”; “The minimum progress report period shall be at least once every 10 treatment days.”; “Therapy is planned 3X week, 45 minute sessions for 6 weeks. Long term goal is to consume a mechanical soft diet with thin liquids without complications such as aspiration pneumonia.”; “Note the provider is billing 92526 three times a week, consistent with the plan; progress is documented; skilled treatment is documented.”; “Identification of each specific intervention/modality provided and billed, for both timed and untimed codes, in language that can be compared with the billing on the claim to verify correct coding.”; “Total timed code treatment minutes and total treatment time in minutes. Total treatment time includes the minutes for timed code treatment and untimed code treatment.”; “Signature and professional identification of the qualified professional who furnished or supervised the services and a list of each person who contributed to that treatment”. The passages run from §220 (the episode definition) through §220.1.2 (plans of care), §220.1.3 (certification), §220.2 D (maintenance programs) and §220.3 (evaluation, progress report and its dysphagia example, and treatment note).
26. American Speech-Language-Hearing Association. Treatment Code Family Replacing 92507 (ASHA coding resource; Reporting Multiple Services on the Same Day). Checked October 25, 2026.
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    “Each add-on code must be reported with its corresponding base code, and the same treatment time cannot be counted toward more than one service.”; “The new codes may also be reported with other timed or untimed codes outside this family, such as codes for swallowing-related services, when all requirements are met and the documentation supports that the services were separate and distinct.”; “(which should be announced during the last quarter of 2026), may also affect same-day reporting.”. The last passage closes a sentence that begins “Payer-specific coding edits, including National Correct Coding Initiative (NCCI) and Medically Unlikely Edits (MUE) requirements”.
27. American Speech-Language-Hearing Association. Medicare CPT Coding Rules for Speech-Language Pathology Services (ASHA coding guidance). Checked October 25, 2026.
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    “Most CPT/HCPCS codes reported by speech-language pathologists are untimed and do not include time designations in the code descriptor. An untimed code is billed once per day, regardless of the time spent providing the service.”; “Medicare Part B services provided under plans of care for speech-language pathology or dysphagia services also require a -GN modifier.”; “CMS staff have concluded that speech-language pathologists should not report physical medicine codes 97110”; “Although these coding guidelines are based on Medicare policies, keep in mind that other third party payers may adopt similar policies.”.
28. Centers for Medicare & Medicaid Services, Medicaid.gov. Early and Periodic Screening, Diagnostic, and Treatment (Medicaid benefits page). Checked October 25, 2026.
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    “The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid.”; “States are required to provide any additional 1905(a) services that are coverable under the Federal Medicaid program and found to be medically necessary to treat, correct, or reduce illnesses and conditions discovered regardless of whether the service is covered in a state’s Medicaid plan. It is the responsibility of states to determine medical necessity on a case-by-case basis.”.
29. Electronic Code of Federal Regulations. 42 CFR 440.110, Physical therapy, occupational therapy, and services for individuals with speech, hearing, and language disorders (Medicaid; paragraphs (b)(1) and (c)(1), read through the eCFR versioner as of October 22, 2026). Checked October 25, 2026.
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    “Occupational therapy means services prescribed by a physician or other licensed practitioner of the healing arts within the scope of his or her practice under State law and provided to a beneficiary by or under the direction of a qualified occupational therapist.”; “Services for individuals with speech, hearing, and language disorders means diagnostic, screening, preventive, or corrective services provided by or under the direction of a speech pathologist or audiologist, for which a patient is referred by a physician or other licensed practitioner of the healing arts within the scope of his or her practice under State law.”.
30. UnitedHealthcare. Habilitation and Rehabilitation Therapy (Occupational, Physical, and Speech) (UnitedHealthcare Commercial and Individual Exchange Medical Policy MP.026.27, effective July 1, 2026). Checked October 25, 2026.
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    “Listing of a code in this policy does not imply that the service described by the code is a covered or non-covered health service. Benefit coverage for health services is determined by the member specific benefit plan document and applicable laws that may require coverage for a specific service.”; “For feeding and swallowing evaluations, all the following must be submitted:”; “Interview/case history; and”; “Medical/clinical records, including the potential impact of medications, if any; and”; “Physical examination; and”; “Previous screening and assessments; and”; “Collaboration with providers and other caregivers”; “Description of the characteristics of swallowing function, including any breakdowns in swallow physiology”; “Diagnosis of a swallowing disorder”; “Determination of the safest and most efficient route (oral vs nonoral) of nutrition and hydration intake”; “Specific treatment(s) provided that match the CPT code(s) billed”; “Accurate documentation of the length of treatment session”; “The individual’s response to treatment”; “All progress toward the goals in objective, measurable terms, using consistent and comparable methods”. The policy’s Applicable Codes list includes 92526 and 92610; the last four passages are from its list of what all treatment session notes must include.
31. Electronic Code of Federal Regulations. 42 CFR 422.138, Prior authorization (Medicare Advantage; read through the eCFR versioner as of October 22, 2026). Checked October 25, 2026.
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    “Prior authorization processes for coordinated care plans may only be used for one or more the following purposes: (1) To confirm the presence of diagnoses or other medical criteria that are the basis for coverage determinations for the specific item or service; or (2) For basic benefits, to ensure an item or service is medically necessary”; “If the MA organization approved the furnishing of a covered item or service through a prior authorization or pre-service determination of coverage or payment, or a concurrent determination made during the enrollee’s receipt of inpatient or outpatient services, it may not deny coverage later on the basis of lack of medical necessity and may not reopen such a decision for any reason except for good cause”; “or if there is reliable evidence of fraud or similar fault”.
32. American Speech-Language-Hearing Association. Current Procedural Terminology (CPT) Codes: Speech-Language Pathology (ASHA coding page). “Though coding and coverage policies can vary from payer-to-payer, there are general guidelines that should be considered. The information below provides guidance on various CPT coding topics, but speech-language pathologists should also contact payers for final coverage and coding decisions.”. Checked October 25, 2026.
33. Centers for Medicare & Medicaid Services. List of Telehealth Services (page last modified March 4, 2026, with the List of Telehealth Services for Calendar Year 2026 (ZIP)). Checked October 25, 2026.
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    “List of services payable under the Medicare Physician Fee Schedule when furnished via telehealth.”; “CY 2026 Final List of Medicare Telehealth Services”. The 2026 list includes 92526, with the action Maintain, as well as 92507, 92610, 97530 and 97535.
34. DrSensory. DrSensory for therapists (the For Therapists hub). Checked October 24, 2026.
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    “DrSensory is a directory families use free to find occupational therapy, physical therapy and speech therapy clinics”; “across all 50 states and Washington, DC”; “Every clinic keeps a basic listing at no cost.”; “The directory lists clinics rather than individual therapists, so one listing covers a whole practice at one address.”; “Claiming is free and has three steps: find your listing, confirm your email with a six-digit code, choose a password.”; “There is no contract, and nothing is charged while you claim.”; “Therapy and developmental resources for children and adults, plus a directory of providers across the United States.”.
35. DrSensory. Therapy Clinic Directory Pricing (the pricing page and its frequently asked questions). Checked October 24, 2026.
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    “Outpatient physical therapy, occupational therapy, and speech-language pathology clinics. The directory lists clinics rather than individual therapists, so one listing covers your whole practice. Inpatient rehabilitation facilities and chiropractic practices are not listed.”; “$29.99 a month or $349.99 a year for your first location, and $9.99 a month or $99.99 a year for each additional location”; “Claiming your listing is free.”; “A description in your own words”; “We do not verify clinical quality”; “A listing means a practice appears in the directory. It is not a recommendation”; “Families never pay to search it or to contact a clinic”; “When a family writes from your profile, the address you gave for family inquiries is told that a message is waiting; you read it signed in, because what a parent writes about their child is health information, and you reply from your own address.”.

Medical disclaimer. This page is for general educational purposes and does not constitute medical advice, diagnosis, or treatment. It is general guidance on running a therapy practice, not legal, compliance, billing or financial advice. Scope of practice is set by each state’s licensing law and board, and coverage by each payer’s own policy.