CPT code 92522: Speech evaluation, speech sound production2026 Medicare rate & RVUs in Mississippi

A speech-language pathologist evaluates speech sound skills to identify articulation, phonological, or motor-speech impairments and guide treatment planning.

CMS RVU26DEffective Oct 1, 2026One payment locality4.6K Medicare services in 2024

In Mississippi, Medicare pays $105.09 for 92522 in the office.

$105.09Office (non-facility)
Not available in this settingHospital or facility
−6.1%vs the national office rate ($111.89)

Check a contract rate as a % of Medicare · 92522 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 92522 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 92522 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 92522 covers

A speech-language pathologist uses this evaluation to assess how a patient produces speech sounds, including patterns of sound substitutions or omissions, reduced intelligibility, and motor-speech difficulties such as apraxia or dysarthria. The assessment may include structured tasks and speech samples suited to the patient’s age and communication abilities. It is commonly performed in an outpatient speech-language pathology clinic, hospital outpatient department, or physician office when a patient has concerns such as persistent speech sound errors or impaired intelligibility.

Report 92522 when the documented evaluation focuses on speech sound production. The record should identify the communication concern, assessment findings, functional effects, and clinical conclusions supporting the need for care. Use 92523 when the evaluation also includes language comprehension and expression; a fluency-focused or voice-focused evaluation is represented by a different code. This is a therapy service, so a professional-component modifier does not apply. Under the CMS therapy multiple procedure payment reduction, practice expense is reduced for the second and later therapy units furnished 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 Mississippi compares for 92522

Across 109 of 109 payment localities, the office rate for 92522 runs from $104.70 in Arkansas to $146.38 in Alaska. Mississippi pays $105.09. The RVUs are the same everywhere; the geographic indexes change the dollars.

92522 in Mississippi vs other payment areas
  1. Mississippi · this page$105.09
  2. Los Angeles, CA · California$122.57+$17.48
  3. Washington, DC area · District of Columbia$123.77+$18.68
  4. Miami, FL · Florida$115.84+$10.75
  5. Chicago, IL · Illinois$114.30+$9.21
  6. Manhattan, NY · New York$124.30+$19.21
  7. Alaska · Alaska$146.38+$41.29

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

Every other payment area

92522 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$105.51—
ArkansasArkansas$104.70—
ArizonaArizona$110.26—
Bakersfield, CACalifornia$117.05—
Chico, CACalifornia$116.82—
El Centro, CACalifornia$116.83—
Fresno, CACalifornia$116.82—
Hanford, CACalifornia$116.82—

92522 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.

$104.70

$146.38

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

View every state and territory as a table
92522 office rate range by state
State / territoryOffice rate rangeLocalities
AK$146.381
AL$105.511
AR$104.701
AZ$110.261
CA$116.82–$138.8529
CO$115.341
CT$117.031
DC$123.771
DE$111.521
FL$110.52–$115.843
GA$107.14–$113.102
GU$117.691
HI$117.691
IA$107.141
ID$107.471
IL$108.61–$114.634
IN$107.821
KS$106.771
KY$106.631
LA$106.50–$109.342
MA$115.11–$123.382
MD$112.98–$123.773
ME$107.67–$110.982
MI$108.03–$111.182
MN$112.301
MO$105.45–$109.673
MS$105.091
MT$111.891
NC$108.301
ND$111.101
NE$107.491
NH$113.631
NJ$118.86–$123.452
NM$108.311
NV$111.721
NY$109.17–$125.925
OH$107.861
OK$106.631
OR$111.31–$117.732
PA$108.01–$115.212
PR$112.381
RI$114.501
SC$108.161
SD$111.011
TN$107.051
TX$107.62–$114.568
UT$108.971
VA$110.71–$123.772
VI$112.381
VT$110.771
WA$114.87–$125.392
WI$109.021
WV$106.391
WY$111.551

See 92522 in every payment locality

How the 92522 rate is calculated

Each of 92522’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 · 92522

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.92

1.92 RVUs× 1.000 GPCI

Practice expense1.39

1.39 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

3.3500

Conversion factor

$33.4009

Medicare rate

$111.89

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

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,789

Code
92522
Physician work
1.92
Practice expense
1.39
Malpractice
0.04

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Office calculation for 92522 in Mississippi
ComponentRVULocality factorAdjusted
Physician work1.92× 1.0001.9200
Practice expense1.39× 0.8611.1968
Malpractice0.04× 0.7390.0296
Total RVUs3.1463
Conversion factor× 33.4009

Office rate, Mississippi$105.09

Office: (1.92 × 1 + 1.39 × 0.861 + 0.04 × 0.739) × $33.4009 = $105.09

Open 92522 in the RVU calculator

Payment rules and modifiers for 92522

The CMS indicators that decide how 92522 is paid alongside other services.

CMS payment indicators · 92522

Speech evaluation, speech sound production

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

92522 without CQ · national office

$111.89

Speech evaluation, speech sound production

92522-CQ · Allowed amount unchanged

$111.89

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 92522 has changed in Mississippi

92522 · Office / nonfacility

$105.09

Effective 2026-10-01

The base rate is $3.46 higher than on 2025-10-01, moving from $101.63 to $105.09 (3.4%).

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

    $101.63changed to$105.09

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.38 changed to 1.39
    • Malpractice RVU 0.06 changed to 0.04
    • Practice expense GPCI 0.852 changed to 0.861
    • Malpractice GPCI 0.768 changed to 0.739

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $103.99changed to$101.63

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.35 changed to 1.38
    • Malpractice RVU 0.07 changed to 0.06

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $102.29changed to$103.99

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $104.66changed to$102.29

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.32 changed to 1.35
    • Practice expense GPCI 0.847 changed to 0.852
    • Malpractice GPCI 0.720 changed to 0.768
  5. January 1, 2023

    RVU23A

    $105.83changed to$104.66

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.28 changed to 1.32
    • Malpractice RVU 0.09 changed to 0.07
    • Practice expense GPCI 0.842 changed to 0.847
    • Malpractice GPCI 0.671 changed to 0.720

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $106.35changed to$105.83

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.26 changed to 1.28
    • Malpractice RVU 0.10 changed to 0.09

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $87.77changed to$106.35

    • Conversion factor 36.0896 changed to 34.8931
    • Work RVU 1.50 changed to 1.92
    • Practice expense RVU 1.04 changed to 1.26
    • Malpractice RVU 0.08 changed to 0.10
    • Practice expense GPCI 0.856 changed to 0.842
    • Malpractice GPCI 0.521 changed to 0.671

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $87.11changed to$87.77

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.02 changed to 1.04
    • Practice expense GPCI 0.870 changed to 0.856
    • Malpractice GPCI 0.370 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $87.01changed to$87.11

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $87.12changed to$87.01

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.03 changed to 1.02
    • Malpractice RVU 0.07 changed to 0.08
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.492 changed to 0.370

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $87.42changed to$87.12

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.04 changed to 1.03
    • Practice expense GPCI 0.864 changed to 0.867
    • Malpractice GPCI 0.613 changed to 0.492

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $87.51changed to$87.42

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.06 changed to 0.07

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $87.07changed to$87.51

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $87.32changed to$87.07

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.06 changed to 1.04
    • Malpractice RVU 0.03 changed to 0.06
    • Practice expense GPCI 0.865 changed to 0.864
    • Malpractice GPCI 0.687 changed to 0.613

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$87.32

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$105.09Not available in this settingRVU26D
2026-07-01$105.09Not available in this settingRVU26C
2026-04-01$105.09Not available in this settingRVU26B
2026-01-01$105.09Not available in this settingRVU26A
2025-10-01$101.63Not available in this settingRVU25D
2025-07-01$101.63Not available in this settingRVU25C
2025-04-01$101.63Not available in this settingRVU25B
2025-01-01$101.63Not available in this settingRVU25A
2024-10-01$103.99Not available in this settingRVU24D
2024-07-01$103.99Not available in this settingRVU24C
2024-04-01$103.99Not available in this settingRVU24B
2024-03-09$103.99Not available in this settingRVU24AR
2024-01-01$102.29Not available in this settingRVU24A
2023-10-01$104.66Not available in this settingRVU23D
2023-07-01$104.66Not available in this settingRVU23C
2023-04-01$104.66Not available in this settingRVU23B
2023-01-01$104.66Not available in this settingRVU23A
2022-10-01$105.83Not available in this settingRVU22D
2022-07-01$105.83Not available in this settingRVU22C
2022-04-01$105.83Not available in this settingRVU22B
2022-01-01$105.83Not available in this settingRVU22A
2021-10-01$106.35Not available in this settingRVU21D
2021-07-01$106.35Not available in this settingRVU21C
2021-04-01$106.35Not available in this settingRVU21B
2021-01-01$106.35Not available in this settingRVU21A
2020-10-01$87.77Not available in this settingRVU20D
2020-07-01$87.77Not available in this settingRVU20C
2020-04-01$87.77Not available in this settingRVU20B
2020-01-01$87.77Not available in this settingRVU20A
2019-10-01$87.11Not available in this settingRVU19D
2019-07-01$87.11Not available in this settingRVU19C
2019-04-01$87.11Not available in this settingRVU19B
2019-01-01$87.11Not available in this settingRVU19A
2018-10-01$87.01Not available in this settingRVU18D
2018-07-01$87.01Not available in this settingRVU18C
2018-04-01$87.01Not available in this settingRVU18B
2018-01-01$87.01Not available in this settingRVU18AR1
2017-10-01$87.12Not available in this settingRVU17D
2017-07-01$87.12Not available in this settingRVU17C
2017-04-01$87.12Not available in this settingRVU17B
2017-01-01$87.12Not available in this settingRVU17A
2016-10-01$87.42Not available in this settingRVU16D
2016-07-01$87.42Not available in this settingRVU16C
2016-04-01$87.42Not available in this settingRVU16B
2016-01-01$87.42Not available in this settingRVU16A
2015-10-01$87.51Not available in this settingRVU15D
2015-07-01$87.51Not available in this settingRVU15C
2015-04-01$87.07Not available in this settingRVU15B
2015-01-01$87.07Not available in this settingRVU15A
2014-10-01$87.32Not available in this settingRVU14D
2014-07-01$87.32Not available in this settingRVU14C
2014-04-01$87.32Not available in this settingRVU14B
2014-01-01$87.32Not available in this settingRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 92522 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

92522 billing questions

When should 92522 be chosen instead of 92523?

Choose 92522 when the evaluation addresses speech sound production. Use 92523 when the evaluation also assesses language comprehension and expression.

How does 92522 differ from 92521?

92522 evaluates speech sound production, while 92521 addresses speech fluency, such as stuttering or related fluency concerns.

Can 92522 and 92523 be reported for the same evaluation?

Do not report both for the same evaluation work. 92523 includes speech sound production assessment along with language comprehension and expression assessment.

Does modifier 26 apply to 92522?

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

What documentation supports reporting 92522?

Document the speech sound concerns assessed, relevant findings such as sound errors or reduced intelligibility, and the clinical conclusions supporting the evaluation.

How does the therapy multiple procedure reduction affect 92522?

When it is the second or a later therapy unit on the same day, CMS reduces the practice expense portion under the therapy multiple procedure payment reduction.

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 92522PPRRVU2026_Oct_nonQPP.csv, line 11,789 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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