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

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

CMS RVU26DEffective Oct 1, 2026One payment locality819.3K Medicare services in 2024

In Puerto Rico, Medicare pays $76.51 for 92507 in the office.

$76.51Office (non-facility)
Not available in this settingHospital or facility
+0.5%vs the national office rate ($76.15)

Check a contract rate as a % of Medicare · 92507 nationwide

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

We’ll open 92507 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 92507 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How Puerto Rico compares for 92507

Across 109 of 109 payment localities, the office rate for 92507 runs from $71.42 in Arkansas to $99.82 in Alaska. Puerto Rico pays $76.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

92507 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$76.51
  2. Los Angeles, CA · California$83.75+$7.24
  3. Washington, DC area · District of Columbia$84.30+$7.79
  4. Miami, FL · Florida$77.99+$1.48
  5. Chicago, IL · Illinois$77.05+$0.54
  6. Manhattan, NY · New York$84.38+$7.87
  7. Alaska · Alaska$99.82+$23.31

Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.

Every other payment area

92507 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$71.96—
ArkansasArkansas$71.42—
ArizonaArizona$75.10—
Bakersfield, CACalifornia$79.96—
Chico, CACalifornia$79.85—
El Centro, CACalifornia$79.85—
Fresno, CACalifornia$79.85—
Hanford, CACalifornia$79.85—

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

See 92507 in every payment locality

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.

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,779

Code
92507
Physician work
1.30
Practice expense
0.97
Malpractice
0.01

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 92507 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.30× 1.0001.3000
Practice expense0.97× 1.0110.9807
Malpractice0.01× 0.9850.0098
Total RVUs2.2905
Conversion factor× 33.4009

Office rate, Puerto Rico$76.51

Office: (1.3 × 1 + 0.97 × 1.011 + 0.01 × 0.985) × $33.4009 = $76.51

Open 92507 in the RVU calculator

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.

How 92507 has changed in Puerto Rico

92507 · Office / nonfacility

$76.51

Effective 2026-10-01

The base rate is $1.26 higher than on 2025-10-01, moving from $75.25 to $76.51 (1.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $75.25changed to$76.51

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.99 changed to 0.97
    • Malpractice RVU 0.03 changed to 0.01
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $76.43changed to$75.25

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.96 changed to 0.99

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $75.19changed to$76.43

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $77.50changed to$75.19

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.94 changed to 0.96
    • Malpractice RVU 0.04 changed to 0.03
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982
  5. October 1, 2023

    RVU23D

    $77.26changed to$77.50

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984
  6. January 1, 2023

    RVU23A

    $78.44changed to$77.26

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.91 changed to 0.94
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $78.38changed to$78.44

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.89 changed to 0.91

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $81.44changed to$78.38

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.90 changed to 0.89
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $80.57changed to$81.44

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.88 changed to 0.90
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $80.12changed to$80.57

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.87 changed to 0.88

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $74.84changed to$80.12

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.88 changed to 0.87
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $69.28changed to$74.84

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $69.68changed to$69.28

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.89 changed to 0.88
    • Malpractice RVU 0.04 changed to 0.05

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $69.33changed to$69.68

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $69.06changed to$69.33

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.88 changed to 0.89
    • Malpractice RVU 0.07 changed to 0.04
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $61.43changed to$69.06

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.72 changed to 0.88
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $61.43

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$76.51Not available in this settingRVU26D
2026-07-01$76.51Not available in this settingRVU26C
2026-04-01$76.51Not available in this settingRVU26B
2026-01-01$76.51Not available in this settingRVU26A
2025-10-01$75.25Not available in this settingRVU25D
2025-07-01$75.25Not available in this settingRVU25C
2025-04-01$75.25Not available in this settingRVU25B
2025-01-01$75.25Not available in this settingRVU25A
2024-10-01$76.43Not available in this settingRVU24D
2024-07-01$76.43Not available in this settingRVU24C
2024-04-01$76.43Not available in this settingRVU24B
2024-03-09$76.43Not available in this settingRVU24AR
2024-01-01$75.19Not available in this settingRVU24A
2023-10-01$77.50Not available in this settingRVU23D
2023-07-01$77.26Not available in this settingRVU23C
2023-04-01$77.26Not available in this settingRVU23B
2023-01-01$77.26Not available in this settingRVU23A
2022-10-01$78.44Not available in this settingRVU22D
2022-07-01$78.44Not available in this settingRVU22C
2022-04-01$78.44Not available in this settingRVU22B
2022-01-01$78.44Not available in this settingRVU22A
2021-10-01$78.38Not available in this settingRVU21D
2021-07-01$78.38Not available in this settingRVU21C
2021-04-01$78.38Not available in this settingRVU21B
2021-01-01$78.38Not available in this settingRVU21A
2020-10-01$81.44Not available in this settingRVU20D
2020-07-01$81.44Not available in this settingRVU20C
2020-04-01$81.44Not available in this settingRVU20B
2020-01-01$81.44Not available in this settingRVU20A
2019-10-01$80.57Not available in this settingRVU19D
2019-07-01$80.57Not available in this settingRVU19C
2019-04-01$80.57Not available in this settingRVU19B
2019-01-01$80.57Not available in this settingRVU19A
2018-10-01$80.12Not available in this settingRVU18D
2018-07-01$80.12Not available in this settingRVU18C
2018-04-01$80.12Not available in this settingRVU18B
2018-01-01$80.12Not available in this settingRVU18AR1
2017-10-01$74.84Not available in this settingRVU17D
2017-07-01$74.84Not available in this settingRVU17C
2017-04-01$74.84Not available in this settingRVU17B
2017-01-01$74.84Not available in this settingRVU17A
2016-10-01$69.28Not available in this settingRVU16D
2016-07-01$69.28Not available in this settingRVU16C
2016-04-01$69.28Not available in this settingRVU16B
2016-01-01$69.28Not available in this settingRVU16A
2015-10-01$69.68Not available in this settingRVU15D
2015-07-01$69.68Not available in this settingRVU15C
2015-04-01$69.33Not available in this settingRVU15B
2015-01-01$69.33Not available in this settingRVU15A
2014-10-01$69.06Not available in this settingRVU14D
2014-07-01$69.06Not available in this settingRVU14C
2014-04-01$69.06Not available in this settingRVU14B
2014-01-01$69.06Not available in this settingRVU14A
2013-10-01$61.43Not available in this settingRVU13D
2013-07-01$61.43Not available in this settingRVU13C
2013-04-01$61.43Not available in this settingRVU13B
2013-01-01$61.43Not available in this settingRVU13AR

Price 92507 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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