CPT code 92605: AAC evaluation, non-speech device2026 Medicare rate & RVUs in Missouri
Speech-language pathologists evaluate patients for a non-speech-generating AAC device and determine an appropriate option for their communication needs.
CMS doesn’t publish an office rate for 92605 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | Unavailable |
| Metropolitan St. Louis, MO | Unavailable | Unavailable |
| Rest of Missouri | Unavailable | Unavailable |
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
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
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.
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
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