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CPT and ICD-10 codes for myofunctional therapy

A working reference for the procedure and diagnosis codes myofunctional therapists encounter most, with plain-language notes on when each one applies.

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Code reference26 codes

Procedure and diagnosis codes

92526Swallowing and oral function

Q38.1Ankyloglossia

M26.59Dentofacial abnormality

92507

Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual

The most commonly cited code for individual myofunctional therapy sessions when delivered by a qualified provider treating an oral-motor or speech-related dysfunction.

Commonly used

92508

Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, two or more individuals

Group sessions. Rarely used in myo practices but relevant if you run group programs.

Commonly used

92526

Treatment of swallowing dysfunction and/or oral function for feeding

Where the documented focus is swallowing or feeding function rather than speech. Often the better fit for tongue-thrust and feeding-related myofunctional work.

Commonly used

92610

Evaluation of oral and pharyngeal swallowing function

Initial evaluation where swallowing function is assessed. Commonly paired with 92526 for the treatment course that follows.

Commonly used

92522

Evaluation of speech sound production

Initial evaluation focused on articulation and speech sound production.

Commonly used

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Getting these paid

The reason a claim for this work gets denied is usually not the code itself.

Pair the codes deliberately

92526 with an oral-phase dysphagia diagnosis tells a coherent story. The same code with only a malocclusion diagnosis often does not.

Let documentation match the code

Bill neuromuscular re-education and the note has to describe it. Most denials on appeal come down to this.

Check the referral requirement first

Many plans require a physician or dentist referral. Getting one afterwards is far harder.

Verify benefits by CPT code

Ask about the specific code, not “myofunctional therapy” — reps often do not recognise the term.

Get the denial reason in writing

Medical-necessity denials are often reversible with the treatment plan attached. Licensure mismatches are not.

Verify before you submit. Applicability changes by payer, licensure, state and year.

ScopeThis is a reference, not billing advice. Code applicability depends on your licensure, your payer contracts, your state, and the current year’s code set. Always verify against the current CPT codebook and your payer’s policy before submitting a claim. Codes marked varies by payer are used by some practices but are not consistently reimbursed.

The codes are the easy part

MyoSimplified keeps diagnosis and procedure codes on the client record, carries them onto superbills and monthly statements, and generates the documentation that supports them.

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