This is your investment in restoring peace at mealtimes and confidence in parenting.
Billing & Insurance
FirstSTAGES Feeding Specialists is an out-of-network provider, which means we do not bill, submit, or work directly with any insurance company.
We accept all major credit cards, as well as FSA/HSA cards, Venmo, and Zelle for private payment. Discounted package rates are also available—please inquire to see if there’s a package that meets your family’s needs.
We provide detailed, itemized superbills that you can submit to your insurance company for possible reimbursement. Any reimbursement received is sent directly to the patient.
If you’re unable to find an in-network provider, you may ask your insurance company about requesting a “gap exception” (sometimes called a “single case agreement”) to allow coverage for our services at in-network rates.
How to Check Your Benefits
Contact your insurance company and ask about out-of-network coverage for CPT Codes Speech and Language Pathology - Feeding & Swallowing: oral-motor, sensory, behavioral, and functional feeding assessment and intervention.
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Feeding Assessment (CPT 92610): Evaluation of oral and pharyngeal swallowing function (includes assessment of oral stage, pharyngeal stage, and related functions).
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Feeding Therapy (CPT 92526): Treatment of swallowing dysfunction and/or oral function for feeding, individual.
Typical ICD-10 diagnosis codes include:
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R63.31 – Pediatric feeding disorder, acute (<3 months)
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R63.32 – Pediatric feeding disorder, chronic (>3 months)
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R13.11 – Dysphagia, oral phase
Gap Exception / Single Case Agreement
If you are waitlisted for in-network providers, ask your insurance company whether you can apply for a gap exception using the above-references codes, so that our services may be covered at in-network rates.
Families must initiate this request directly with their insurer and complete any required paperwork. It's helpful to obtain a request from your primary care physician (PCP) to show medical necessity.
We are happy to provide our NPI and EIN numbers, which you’ll need when contacting your insurance company. Please contact us directly for this information.
While we can answer brief questions and provide basic therapy information to support your request, we are not able to make lengthy calls to insurance companies, navigate phone prompts, or complete detailed paperwork on your behalf.