CPT code 92524: Voice evaluation, behavioral and perceptual analysis2026 Medicare rate & RVUs

Medicare pays $109.55 for 92524 nationally in the office. Local office rates run $102.81–$144.06.

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

What 92524 covers

A speech-language pathologist uses listening and structured observation to assess features such as vocal quality, pitch, loudness, and resonance. The evaluation may be appropriate for a patient with hoarseness, vocal strain, or a suspected resonance disorder, including concerns arising after laryngeal surgery. It is performed in settings where speech-language pathology services are provided and focuses on the patient’s voice as heard during assessment, rather than on voice exercises or treatment.

Select this code when the documented service is a behavioral, perceptual analysis of voice and resonance. The record should identify the voice concern, the assessment performed, relevant findings, and the clinical interpretation or plan. CMS classifies this as a therapy service, so a professional-component modifier does not apply. When multiple therapy units are furnished on the same day, practice expense is reduced for the second and later units under the therapy multiple procedure payment reduction.

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 92524 pays more and less

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

109 of 109 payment localities

92524 rates by state

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

How the 92524 rate is calculated

Each of 92524’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.

Payment rules and modifiers for 92524

The CMS indicators that decide how 92524 is paid alongside other services.

What modifiers do to the payment

92524 compared with similar codes

How to choose

92520Laryngeal testingAerodynamic and acoustic measures

92524 captures perceptual assessment of voice and resonance; 92520 describes laryngeal function testing, including physiologic or acoustic measures.

92521Speech evaluationFluency

Use 92521 when the assessment focuses on speech fluency, such as stuttering, rather than voice quality or resonance.

92522Speech evaluationSpeech sound production

Use 92522 for an evaluation of speech sound production. It does not represent a perceptual voice and resonance assessment.

92523Speech-language evaluationSpeech plus language assessment

Use 92523 when evaluating speech sound production together with language comprehension and expression; 92524 focuses on voice and resonance.

Codes related to 92524

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates