CPT code 92524: Voice evaluation, behavioral and perceptual analysis2026 Medicare rate & RVUs in Puerto Rico
A speech-language pathologist assesses voice and resonance perceptually to characterize dysphonia or another voice problem and guide clinical management.
In Puerto Rico, Medicare pays $110.03 for 92524 in the office.
Check a contract rate as a % of Medicare · 92524 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How Puerto Rico compares for 92524
Across 109 of 109 payment localities, the office rate for 92524 runs from $102.81 in Arkansas to $144.06 in Alaska. Puerto Rico pays $110.03. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$110.03
- Los Angeles, CA · California$119.98+$9.95
- Washington, DC area · District of Columbia$121.04+$11.01
- Miami, FL · Florida$112.91+$2.88
- Chicago, IL · Illinois$111.52+$1.49
- Manhattan, NY · New York$121.44+$11.41
- Alaska · Alaska$144.06+$34.03
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $103.57 | — |
| ArkansasArkansas | $102.81 | — |
| ArizonaArizona | $108.03 | — |
| Bakersfield, CACalifornia | $114.65 | — |
| Chico, CACalifornia | $114.44 | — |
| El Centro, CACalifornia | $114.45 | — |
| Fresno, CACalifornia | $114.44 | — |
| Hanford, CACalifornia | $114.44 | — |
| Madera, CACalifornia | $114.44 | — |
| Merced, CACalifornia | $114.44 | — |
| Modesto, CACalifornia | $114.44 | — |
| Napa, CACalifornia | $127.23 | — |
| Oxnard, CACalifornia | $119.06 | — |
| Redding, CACalifornia | $114.44 | — |
| Rest of CaliforniaCalifornia | $114.44 | — |
| Riverside, CACalifornia | $114.83 | — |
| Sacramento, CACalifornia | $118.64 | — |
| Salinas, CACalifornia | $118.14 | — |
| San Diego, CACalifornia | $119.73 | — |
| Marin County, CACalifornia | $133.32 | — |
| San Francisco, CACalifornia | $133.28 | — |
| San Benito County, CACalifornia | $135.78 | — |
| Santa Clara County, CACalifornia | $135.64 | — |
| San Luis Obispo, CACalifornia | $116.36 | — |
| Santa Cruz, CACalifornia | $119.99 | — |
| Santa Maria, CACalifornia | $118.26 | — |
| Santa Rosa, CACalifornia | $121.14 | — |
| Stockton, CACalifornia | $114.44 | — |
| Vallejo, CACalifornia | $127.18 | — |
| Visalia, CACalifornia | $114.44 | — |
| Yuba City, CACalifornia | $114.44 | — |
| ColoradoColorado | $112.95 | — |
| ConnecticutConnecticut | $114.47 | — |
| DelawareDelaware | $109.24 | — |
| Fort Lauderdale, FLFlorida | $110.94 | — |
| Rest of FloridaFlorida | $108.10 | — |
| Atlanta, GAGeorgia | $110.66 | — |
| Rest of GeorgiaGeorgia | $104.95 | — |
| Hawaii, Guam, HIHawaii | $115.22 | — |
| IowaIowa | $105.17 | — |
| IdahoIdaho | $105.47 | — |
| East St. Louis, ILIllinois | $107.02 | — |
| Rest of IllinoisIllinois | $106.25 | — |
| Suburban Chicago, ILIllinois | $111.98 | — |
| IndianaIndiana | $105.80 | — |
| KansasKansas | $104.79 | — |
| KentuckyKentucky | $104.54 | — |
| New Orleans, LALouisiana | $107.07 | — |
| Rest of LouisianaLouisiana | $104.40 | — |
| Metropolitan Boston, MAMassachusetts | $120.69 | — |
| Rest of MassachusettsMassachusetts | $112.73 | — |
| Baltimore area, MDMaryland | $114.06 | — |
| Rest of MarylandMaryland | $110.65 | — |
| Rest of MaineMaine | $105.62 | — |
| Southern Maine, MEMaine | $108.79 | — |
| Detroit, MIMichigan | $108.69 | — |
| Rest of MichiganMichigan | $105.82 | — |
| MinnesotaMinnesota | $110.14 | — |
| Metropolitan Kansas City, MOMissouri | $106.82 | — |
| Metropolitan St. Louis, MOMissouri | $107.42 | — |
| Rest of MissouriMissouri | $103.40 | — |
| MississippiMississippi | $103.12 | — |
| MontanaMontana | $109.55 | — |
| North CarolinaNorth Carolina | $106.22 | — |
| North DakotaNorth Dakota | $108.96 | — |
| NebraskaNebraska | $105.51 | — |
| New HampshireNew Hampshire | $111.25 | — |
| Northern New JerseyNew Jersey | $120.77 | — |
| Rest of New JerseyNew Jersey | $116.30 | — |
| New MexicoNew Mexico | $106.07 | — |
| NevadaNevada | $109.43 | — |
| NYC suburbs and Long Island, NYNew York | $122.91 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $116.87 | — |
| Queens, NYNew York | $122.19 | — |
| Rest of New YorkNew York | $107.04 | — |
| OhioOhio | $105.70 | — |
| OklahomaOklahoma | $104.58 | — |
| Portland, OROregon | $115.26 | — |
| Rest of OregonOregon | $109.08 | — |
| Metropolitan Philadelphia, PAPennsylvania | $112.72 | — |
| Rest of PennsylvaniaPennsylvania | $105.86 | — |
| Rhode IslandRhode Island | $112.13 | — |
| South CarolinaSouth Carolina | $106.03 | — |
| South DakotaSouth Dakota | $108.89 | — |
| TennesseeTennessee | $105.05 | — |
| Austin, TXTexas | $112.15 | — |
| Beaumont, TXTexas | $105.49 | — |
| Brazoria, TXTexas | $109.45 | — |
| Dallas, TXTexas | $109.81 | — |
| Fort Worth, TXTexas | $109.38 | — |
| Galveston, TXTexas | $109.58 | — |
| Houston, TXTexas | $110.13 | — |
| Rest of TexasTexas | $107.19 | — |
| UtahUtah | $106.79 | — |
| VirginiaVirginia | $108.51 | — |
| Virgin Islands, VIUnited States Virgin Islands | $110.03 | — |
| VermontVermont | $108.62 | — |
| Rest of WashingtonWashington | $112.50 | — |
| King County, WAWashington | $122.66 | — |
| WisconsinWisconsin | $107.00 | — |
| West VirginiaWest Virginia | $104.17 | — |
| WyomingWyoming | $109.29 | — |
92524 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.
$102.81
$144.06
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $144.06 | 1 |
| AL | $103.57 | 1 |
| AR | $102.81 | 1 |
| AZ | $108.03 | 1 |
| CA | $114.44–$135.78 | 29 |
| CO | $112.95 | 1 |
| CT | $114.47 | 1 |
| DC | $121.04 | 1 |
| DE | $109.24 | 1 |
| FL | $108.10–$112.91 | 3 |
| GA | $104.95–$110.66 | 2 |
| GU | $115.22 | 1 |
| HI | $115.22 | 1 |
| IA | $105.17 | 1 |
| ID | $105.47 | 1 |
| IL | $106.25–$111.98 | 4 |
| IN | $105.80 | 1 |
| KS | $104.79 | 1 |
| KY | $104.54 | 1 |
| LA | $104.40–$107.07 | 2 |
| MA | $112.73–$120.69 | 2 |
| MD | $110.65–$121.04 | 3 |
| ME | $105.62–$108.79 | 2 |
| MI | $105.82–$108.69 | 2 |
| MN | $110.14 | 1 |
| MO | $103.40–$107.42 | 3 |
| MS | $103.12 | 1 |
| MT | $109.55 | 1 |
| NC | $106.22 | 1 |
| ND | $108.96 | 1 |
| NE | $105.51 | 1 |
| NH | $111.25 | 1 |
| NJ | $116.30–$120.77 | 2 |
| NM | $106.07 | 1 |
| NV | $109.43 | 1 |
| NY | $107.04–$122.91 | 5 |
| OH | $105.70 | 1 |
| OK | $104.58 | 1 |
| OR | $109.08–$115.26 | 2 |
| PA | $105.86–$112.72 | 2 |
| PR | $110.03 | 1 |
| RI | $112.13 | 1 |
| SC | $106.03 | 1 |
| SD | $108.89 | 1 |
| TN | $105.05 | 1 |
| TX | $105.49–$112.15 | 8 |
| UT | $106.79 | 1 |
| VA | $108.51–$121.04 | 2 |
| VI | $110.03 | 1 |
| VT | $108.62 | 1 |
| WA | $112.50–$122.66 | 2 |
| WI | $107.00 | 1 |
| WV | $104.17 | 1 |
| WY | $109.29 | 1 |
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.
How the rate is built · 92524
RVUs × geographic indexes × conversion factor
Work1.92
1.92 RVUs× 1.000 GPCI
Practice expense1.33
1.33 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
3.2800
Conversion factor
$33.4009
Medicare rate
$109.55
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
11,791
- Code
- 92524
- Physician work
- 1.92
- Practice expense
- 1.33
- Malpractice
- 0.03
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.92 | × 1.000 | 1.9200 |
| Practice expense | 1.33 | × 1.011 | 1.3446 |
| Malpractice | 0.03 | × 0.985 | 0.0295 |
| Total RVUs | 3.2942 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$110.03
Office: (1.92 × 1 + 1.33 × 1.011 + 0.03 × 0.985) × $33.4009 = $110.03
Payment rules and modifiers for 92524
The CMS indicators that decide how 92524 is paid alongside other services.
CMS payment indicators · 92524
Voice evaluation, behavioral and perceptual analysis
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 5 | Therapy reduction: practice expense of the second and later units is reduced. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 7 | Therapy service: the split doesn’t apply. |
What modifiers do to the payment
Modifier CQ · payment effect
With and without the modifier
92524 without CQ · national office
$109.55
Voice evaluation, behavioral and perceptual analysis
92524-CQ · Allowed amount unchanged
$109.55
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 92524 has changed in Puerto Rico
92524 · Office / nonfacility
$110.03
Effective 2026-10-01
The base rate is $3.01 higher than on 2025-10-01, moving from $107.02 to $110.03 (2.8%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$107.02changed to$110.03
- Conversion factor 32.3465 changed to 33.4009
- Malpractice RVU 0.05 changed to 0.03
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$109.78changed to$107.02
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.30 changed to 1.33
- Malpractice RVU 0.07 changed to 0.05
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$107.99changed to$109.78
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$111.12changed to$107.99
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.28 changed to 1.30
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$110.81changed to$111.12
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$112.42changed to$110.81
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.23 changed to 1.28
- Malpractice RVU 0.09 changed to 0.07
- Practice expense GPCI 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$112.30changed to$112.42
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.20 changed to 1.23
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$92.64changed to$112.30
- Conversion factor 36.0896 changed to 34.8931
- Work RVU 1.50 changed to 1.92
- Practice expense RVU 0.98 changed to 1.20
- Malpractice RVU 0.08 changed to 0.09
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$90.67changed to$92.64
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.94 changed to 0.98
- Malpractice RVU 0.07 changed to 0.08
- Practice expense GPCI 1.007 changed to 1.008
- Malpractice GPCI 0.990 changed to 0.988
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$89.85changed to$90.67
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.92 changed to 0.94
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$84.32changed to$89.85
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.94 changed to 0.92
- Practice expense GPCI 0.856 changed to 1.007
- Malpractice GPCI 0.642 changed to 0.990
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$78.67changed to$84.32
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.96 changed to 0.94
- Practice expense GPCI 0.705 changed to 0.856
- Malpractice GPCI 0.293 changed to 0.642
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$78.62changed to$78.67
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 0.93 changed to 0.96
- Malpractice RVU 0.11 changed to 0.07
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$78.23changed to$78.62
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$82.27changed to$78.23
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.12 changed to 0.93
- Malpractice RVU 0.08 changed to 0.11
- Practice expense GPCI 0.692 changed to 0.705
- Malpractice GPCI 0.271 changed to 0.293
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$82.27
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $110.03 | Not available in this setting | RVU26D |
| 2026-07-01 | $110.03 | Not available in this setting | RVU26C |
| 2026-04-01 | $110.03 | Not available in this setting | RVU26B |
| 2026-01-01 | $110.03 | Not available in this setting | RVU26A |
| 2025-10-01 | $107.02 | Not available in this setting | RVU25D |
| 2025-07-01 | $107.02 | Not available in this setting | RVU25C |
| 2025-04-01 | $107.02 | Not available in this setting | RVU25B |
| 2025-01-01 | $107.02 | Not available in this setting | RVU25A |
| 2024-10-01 | $109.78 | Not available in this setting | RVU24D |
| 2024-07-01 | $109.78 | Not available in this setting | RVU24C |
| 2024-04-01 | $109.78 | Not available in this setting | RVU24B |
| 2024-03-09 | $109.78 | Not available in this setting | RVU24AR |
| 2024-01-01 | $107.99 | Not available in this setting | RVU24A |
| 2023-10-01 | $111.12 | Not available in this setting | RVU23D |
| 2023-07-01 | $110.81 | Not available in this setting | RVU23C |
| 2023-04-01 | $110.81 | Not available in this setting | RVU23B |
| 2023-01-01 | $110.81 | Not available in this setting | RVU23A |
| 2022-10-01 | $112.42 | Not available in this setting | RVU22D |
| 2022-07-01 | $112.42 | Not available in this setting | RVU22C |
| 2022-04-01 | $112.42 | Not available in this setting | RVU22B |
| 2022-01-01 | $112.42 | Not available in this setting | RVU22A |
| 2021-10-01 | $112.30 | Not available in this setting | RVU21D |
| 2021-07-01 | $112.30 | Not available in this setting | RVU21C |
| 2021-04-01 | $112.30 | Not available in this setting | RVU21B |
| 2021-01-01 | $112.30 | Not available in this setting | RVU21A |
| 2020-10-01 | $92.64 | Not available in this setting | RVU20D |
| 2020-07-01 | $92.64 | Not available in this setting | RVU20C |
| 2020-04-01 | $92.64 | Not available in this setting | RVU20B |
| 2020-01-01 | $92.64 | Not available in this setting | RVU20A |
| 2019-10-01 | $90.67 | Not available in this setting | RVU19D |
| 2019-07-01 | $90.67 | Not available in this setting | RVU19C |
| 2019-04-01 | $90.67 | Not available in this setting | RVU19B |
| 2019-01-01 | $90.67 | Not available in this setting | RVU19A |
| 2018-10-01 | $89.85 | Not available in this setting | RVU18D |
| 2018-07-01 | $89.85 | Not available in this setting | RVU18C |
| 2018-04-01 | $89.85 | Not available in this setting | RVU18B |
| 2018-01-01 | $89.85 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $84.32 | Not available in this setting | RVU17D |
| 2017-07-01 | $84.32 | Not available in this setting | RVU17C |
| 2017-04-01 | $84.32 | Not available in this setting | RVU17B |
| 2017-01-01 | $84.32 | Not available in this setting | RVU17A |
| 2016-10-01 | $78.67 | Not available in this setting | RVU16D |
| 2016-07-01 | $78.67 | Not available in this setting | RVU16C |
| 2016-04-01 | $78.67 | Not available in this setting | RVU16B |
| 2016-01-01 | $78.67 | Not available in this setting | RVU16A |
| 2015-10-01 | $78.62 | Not available in this setting | RVU15D |
| 2015-07-01 | $78.62 | Not available in this setting | RVU15C |
| 2015-04-01 | $78.23 | Not available in this setting | RVU15B |
| 2015-01-01 | $78.23 | Not available in this setting | RVU15A |
| 2014-10-01 | $82.27 | Not available in this setting | RVU14D |
| 2014-07-01 | $82.27 | Not available in this setting | RVU14C |
| 2014-04-01 | $82.27 | Not available in this setting | RVU14B |
| 2014-01-01 | $82.27 | Not available in this setting | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
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
92524 billing questions
When should this code be chosen instead of 92520?
Use 92524 for perceptual assessment of voice and resonance. Code 92520 is for laryngeal function studies, such as physiologic or acoustic testing.
Is this code for voice treatment?
No. It represents an evaluation of voice and resonance. Voice exercises or other individual speech-language treatment are reported separately when performed and supported.
Should modifier 26 be appended?
No. CMS identifies this as a therapy service for which the professional-component modifier does not apply.
How should units be reported?
Report the voice evaluation as a service, not by the number of voice qualities, listening tasks, or samples assessed. CMS reduces practice expense for the second and later therapy units furnished on the same day.
What documentation supports reporting this code?
Document the voice or resonance concern, the perceptual assessment performed, the findings, and how those findings inform the clinical plan.
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
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