CPT code 92507: Speech therapy, individual session2026 Medicare rate & RVUs

Report an individual treatment session addressing a patient's speech, language, voice, fluency, communication, or auditory processing disorder.

CMS RVU26DEffective Oct 1, 2026109 payment localities819.3K Medicare services in 2024

Medicare pays $76.15 for 92507 nationally in the office. Local office rates run $71.42–$99.82.

Medicare rate · 92507

Speech therapy, individual session

Office or facility?

Work RVUs
1.3
Total RVUs
2.28
Global days
XXX

National rate · 2026

$76.15

Office setting, before claim adjustments.

See every locality for 92507 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 92507 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 92507 covers

This code covers a treatment session in which a speech-language pathologist works directly with one patient on a communication disorder. Common targets include aphasia after stroke, motor speech disorders such as dysarthria and apraxia, voice disorders such as vocal fold nodules or Parkinson-related hypophonia, stuttering, articulation and language delays in children, and auditory processing deficits. Sessions take place in private SLP practices, outpatient hospital departments, rehabilitation agencies, and skilled nursing facilities under Part B.

The code is untimed, so a routine session is reported as one unit per date of service regardless of its length. Documentation should tie the session to the plan of care, name the goals addressed, describe the techniques and cues used, and record the patient's measurable response. Medicare requires the GN therapy modifier to identify services delivered under a speech-language pathology plan of care. This therapy service has no professional or technical split, so the professional component modifier is not used. Under the therapy multiple procedure payment reduction, practice expense is reduced for the second and later therapy units furnished to the same patient on the same day.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 92507 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$71.42 to $99.82

$71.42$85.62$99.82
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

92507 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$71.96Unavailable
Alaska$99.82Unavailable
Arizona$75.10Unavailable
Arkansas$71.42Unavailable
Atlanta, GA$76.87Unavailable
Austin, TX$78.08Unavailable
Bakersfield, CA$79.96Unavailable
Baltimore area, MD$79.29Unavailable
Beaumont, TX$73.21Unavailable
Brazoria, TX$76.14Unavailable

92507 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$71.42

$99.82

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
92507 office rate range by state
State / territoryOffice rate rangeLocalities
AK$99.821
AL$71.961
AR$71.421
AZ$75.101
CA$79.85–$95.1029
CO$78.681
CT$79.591
DC$84.301
DE$75.951
FL$74.90–$77.993
GA$72.72–$76.872
GU$80.451
HI$80.451
IA$73.201
ID$73.391
IL$73.52–$77.594
IN$73.621
KS$72.881
KY$72.531
LA$72.41–$74.292
MA$78.50–$84.182
MD$76.95–$84.303
ME$73.44–$75.742
MI$73.38–$75.252
MN$76.861
MO$71.67–$74.603
MS$71.561
MT$76.151
NC$73.861
ND$75.961
NE$73.451
NH$77.441
NJ$80.90–$84.102
NM$73.531
NV$76.131
NY$74.43–$85.345
OH$73.341
OK$72.611
OR$75.93–$80.362
PA$73.48–$78.332
PR$76.511
RI$78.011
SC$73.641
SD$75.931
TN$73.051
TX$73.21–$78.088
UT$74.181
VA$75.51–$84.302
VI$76.511
VT$75.671
WA$78.36–$85.622
WI$74.561
WV$72.051
WY$76.071

How the 92507 rate is calculated

Each of 92507’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 92507

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.30

1.30 RVUs× 1.000 GPCI

Practice expense0.97

0.97 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

2.2800

Conversion factor

$33.4009

Medicare rate

$76.15

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 92507

The CMS indicators that decide how 92507 is paid alongside other services.

CMS payment indicators · 92507

Speech therapy, individual session

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures5Therapy reduction: practice expense of the second and later units is reduced.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical7Therapy service: the split doesn’t apply.

What modifiers do to the payment

Modifier CQ · payment effect

With and without the modifier

92507 without CQ · national office

$76.15

Speech therapy, individual session

92507-CQ · Allowed amount unchanged

$76.15

Medicare cuts its own payment by 15% after the patient’s 20% coinsurance; the allowed amount stays the same. On $100 allowed: $20 coinsurance, then Medicare pays $68 instead of $80.

92507 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 92507

    Speech therapy, individual session1.3 wRVU

    $76.15

  • 92508

    Speech therapy, group session0.33 wRVU

    $24.05−$52.10

  • 92526

    Swallowing therapy, oral feeding function1.34 wRVU

    $84.17+$8.02

  • 97129

    Cognitive therapy, initial 15 minutes0.5 wRVU

    $22.38−$53.77

  • 92523

    Speech-language evaluation, speech plus language assessment3.84 wRVU

    $226.46+$150.31

How to choose

92508Speech therapyGroup session
92507 requires one-on-one treatment with a single patient; 92508 applies when the SLP treats two or more patients simultaneously in a group.
92526Swallowing therapyOral feeding function
92526 treats swallowing and oral feeding problems; 92507 treats speech, language, voice, fluency, communication, or auditory processing. Distinct documented services may warrant both codes on the same date.
97129Cognitive therapyInitial 15 minutes
97129 is a timed cognitive function intervention code for attention, memory, and executive function; 92507 is untimed and targets communication or language deficits such as aphasia.
92523Speech-language evaluationSpeech plus language assessment
92523 evaluates speech sound production and language comprehension and expression; 92507 reports an individual treatment session.

92507 billing questions

How many units can be billed for a long session?

One. This is an untimed code, so a 30-minute or 60-minute individual session is reported as a single unit.

When should the group therapy code be used instead?

Use 92508 when the SLP treats two or more patients at the same time in a shared session. This code requires one-on-one treatment with a single patient.

Can swallowing therapy be billed on the same day?

Dysphagia treatment may be reported separately with 92526 when both communication and swallowing therapy are provided and documented as distinct services.

Which modifier does Medicare require?

The GN modifier identifies the service as delivered under a speech-language pathology plan of care.

Should cognitive rehabilitation be billed with this code?

When the treatment focuses on attention, memory, problem-solving, or executive function rather than communication or language, 97129 describes the initial cognitive function intervention. Choose based on the treatment goals and services documented.

Does the therapy payment reduction apply to this untimed code?

Yes. When therapy units are furnished to the same patient on the same day, practice expense is reduced for the second and later units.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 92507PPRRVU2026_Oct_nonQPP.csv, line 11,779 (RVU26D)

Open CMS sourceHow we calculate rates

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