© Copyright 2026 American Medical Association. All rights reserved.
Speech-generating devices (SGD), also known as voice-output communication aids (VOCA), are specialized electronic tools designed to assist individuals with communication impairments by producing synthetic or digital speech. The evaluation process for prescribing such a device is critical and is conducted face-to-face by a qualified speech-language pathologist (SLP). During this evaluation, the SLP assesses the patient's cognitive and communication abilities to determine the nature and extent of their communication impairment. This comprehensive assessment includes a thorough evaluation of the patient's current language skills and cognitive capabilities. The outcome of this evaluation is essential, as it enables the SLP to recommend the most suitable SGD tailored to the patient's specific needs, as well as any necessary accessories that may enhance the device's functionality. The CPT® Code 92607 is specifically designated for billing the first hour of this evaluation process, while subsequent evaluations or additional time spent are reported using CPT® Code 92608, which covers each additional 30 minutes of face-to-face evaluation time.
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