Hi,

I agree that the 92507 procedure code is appropriate for message and voice banking appointments. I use it an do get reimbursed.   It is also easy to demonstrate and document the benefit for G-coding, at these visits, by using the ALS Functional Communication Scale (patients go from "unable" to "able" on items 6 and 7 raising them from a CJ to CH on G-code scores). 

My concern is often with my diagnostic coding.  The medical Dx is of course ALS but at times the patient has no detectable speech change, by any measurement, to justify a diagnosis of dysarthria.  I believe I do need a speech diagnosis to bill 92507.  While it makes sense to do message or voice banking before speech is impaired, without dysarthria what is our speech diagnosis?  What are peoples thoughts?  How are you billing speech Dx when the patient's speech is still unimpaired?