CPT code 92508: Speech therapy, group session2026 Medicare rate & RVUs in Florida

Report 92508 for skilled speech-language treatment delivered to multiple patients together, rather than individual treatment for one patient.

CMS RVU26DEffective Oct 1, 20263 payment localities6.9K Medicare services in 2024

Medicare pays $23.66–$25.08 for 92508 in the office in Florida, from Rest of Florida to Miami, FL. Which amount applies depends on the service address.

$23.66–$25.08Office (non-facility)
—Hospital or facility

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 9 sections
  1. Rate in Florida
  2. What 92508 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 92508 covers

A speech-language pathologist typically uses this service to treat multiple patients in a shared session, working on communication, speech, language, voice, or auditory-processing goals. Group activities may include structured conversation or practice of communication strategies, with skilled direction tailored to each participant. Services are commonly provided in outpatient therapy settings and hospital departments.

Report the group service for each patient who receives it, and document the group format, skilled interventions, individualized goals, and each patient’s participation and response. Choose individual treatment code 92507 when the clinician treats one patient at a time. This is a therapy service, not a separately billed professional component; the professional component modifier does not apply. CMS reduces the practice-expense portion for the second and subsequent therapy units 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 92508 pays more and less in Florida

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

3 payment localities

$23.66 to $25.08

$23.66$24.37$25.08
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.
92508 office and facility rates by payment locality
Payment localityOfficeFacility
Fort Lauderdale, FL$24.48Unavailable
Miami, FL$25.08Unavailable
Rest of Florida$23.66Unavailable

How the 92508 rate is calculated

Each of 92508’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 · 92508

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.33

0.33 RVUs× 1.000 GPCI

Practice expense0.38

0.38 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.7200

Conversion factor

$33.4009

Medicare rate

$24.05

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

Payment rules and modifiers for 92508

The CMS indicators that decide how 92508 is paid alongside other services.

CMS payment indicators · 92508

Speech therapy, group 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

92508 without CQ · national office

$24.05

Speech therapy, group session

92508-CQ · Allowed amount unchanged

$24.05

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.

92508 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 92508

    Speech therapy, group session0.33 wRVU

    $24.05

  • 92507

    Speech therapy, individual session1.3 wRVU

    $76.15+$52.10

  • 92523

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

    $226.46+$202.41

  • 92526

    Swallowing therapy, oral feeding function1.34 wRVU

    $84.17+$60.12

How to choose

92507Speech therapyIndividual session
92507 is for individual speech-language treatment; 92508 is for treatment provided in a group session.
92523Speech-language evaluationSpeech plus language assessment
92523 is an evaluation of speech production and language comprehension. 92508 reports skilled group treatment, not assessment.
92526Swallowing therapyOral feeding function
92526 addresses swallowing and oral function. Use 92508 for group speech-language treatment directed at communication-related goals.

92508 billing questions

When should 92508 be used instead of 92507?

Use 92508 when the patient receives skilled treatment as part of a group session. Use 92507 for individual treatment.

Is the group service billed once for the whole group?

No. Report the service for each patient who receives treatment, with documentation supporting that patient’s participation and skilled care.

Can a professional component modifier be appended?

No. CMS identifies this as a therapy service for which the professional component modifier does not apply.

How does the therapy multiple procedure payment reduction affect 92508?

When multiple therapy units are reported on the same day, CMS reduces the practice-expense portion for the second and subsequent units.

What documentation supports reporting a group session?

Document the group format, the patient’s individualized treatment goals, skilled interventions, participation, and response to treatment.

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 92508PPRRVU2026_Oct_nonQPP.csv, line 11,780 (RVU26D)

Open CMS sourceHow we calculate rates

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