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CPT code 92605: AAC evaluation, non-speech device2026 Medicare rate & RVUs

Speech-language pathologists evaluate patients for a non-speech-generating AAC device and determine an appropriate option for their communication needs.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · 92605

AAC evaluation, non-speech device

Office or facility?

Work RVUs
1.75
Total RVUs
2.24
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for 92605 →Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 92605 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 92605 covers

A speech-language pathologist typically evaluates a patient who needs an augmentative and alternative communication (AAC) device that communicates without generating speech. The face-to-face assessment considers the patient’s communication needs and ability to use a device, helping determine an appropriate non-speech-generating option. Speech-language pathologists typically perform the evaluation in outpatient rehabilitation or clinic settings. The service is distinct from training or therapeutic support after a device has been selected.

CPT 92605 represents the first hour of the evaluation. CPT 92618 is the add-on code for each additional 30 minutes when applicable. Medicare assigns 92605 physician fee schedule status B: Medicare does not pay it separately, because its payment is included in payment for other services.

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 92605 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

92605 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

92605 rates by state

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

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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.

View every state and territory as a table
92605 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 92605 rate is calculated

Each of 92605’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 · 92605

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.75

1.75 RVUs× 1.000 GPCI

Practice expense0.93

0.93 RVUs× 1.000 GPCI

Malpractice0.11

0.11 RVUs× 1.000 GPCI

Adjusted RVUs

2.7900

Conversion factor

$33.4009

Medicare rate

$93.19

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

Payment rules and modifiers for 92605

92605 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 92605

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

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92605 isn’t priced in this setting.

92605 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 92605

    AAC evaluation, non-speech device1.75 wRVU

    Not priced

  • 92607

    AAC evaluation, prescription assessment, first hour1.85 wRVU

    $122.25

  • 92618

    AAC device evaluation, additional 30 minutes0.65 wRVU

    Not priced

  • 92606

    AAC device therapy, non-speech-generating1.37 wRVU

    Not priced

How to choose

92607AAC evaluationPrescription assessment, first hour
Use 92605 for a non-speech-generating AAC device evaluation. Use 92607 when the device generates speech.
92618AAC device evaluationAdditional 30 minutes
92605 represents the first hour of the evaluation; 92618 reports each additional 30 minutes.
92606AAC device therapyNon-speech-generating
92605 is an evaluation to select a non-speech-generating device. Code 92606 describes therapeutic services for using that type of device.

Codes related to 92605

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

Codes related to 92605
CodeHow it relatesNational office range
Add-on codes
92618AAC device evaluation, additional 30 minutesAdd-on code for each additional 30 minutes of the non-speech-generating device evaluation.No office rate
Used instead
92607AAC evaluation, prescription assessment, first hourEvaluates a speech-generating AAC device rather than a non-speech-generating device.$113.61–$156.90

92605 billing questions

When should 92605 be used instead of 92607?

Use 92605 for an evaluation to select a non-speech-generating AAC device. Code 92607 is for evaluating a speech-generating device.

What does 92605 include?

It represents the first hour of the face-to-face evaluation for a non-speech-generating AAC device. Therapeutic support for using the device is a separate service, described by 92606.

How is time beyond the first hour reported?

CPT 92618 is the add-on code for each additional 30 minutes of the non-speech-generating device evaluation.

Can a modifier make 92605 separately payable by Medicare?

No. Medicare status B means the code is not paid separately; its payment is included in payment for other services.

What documentation supports reporting 92605?

Document the face-to-face evaluation, the patient’s communication needs, the non-speech-generating device considered, and the time spent.

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

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