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CPT code 92606: AAC device therapy, non-speech-generating2026 Medicare rate & RVUs

Reports therapeutic work helping a patient use a non-speech-generating communication device, such as a communication board, including programming or modification.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · 92606

AAC device therapy, non-speech-generating

Office or facility?

Work RVUs
1.37
Total RVUs
1.75
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for 92606 →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 92606 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 92606 covers

This service covers therapy that helps a patient communicate with a non-speech-generating augmentative and alternative communication device. Examples include a communication board, picture board, or alphabet board. A speech-language pathologist commonly provides the service in an outpatient rehabilitation setting or hospital. The work may include teaching the patient or communication partners how to use the device and adapting its content or layout to support communication.

CPT 92606 is distinct from evaluating a patient for a device prescription, which is reported with 92605, and from therapeutic work using a speech-generating device, which is reported with 92609. Medicare Physician Fee Schedule payment status B applies: Medicare never pays this code separately, and its payment is included in payment for other services. Document the device and the therapeutic work performed.

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 92606 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

92606 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

92606 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
92606 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 92606 rate is calculated

Each of 92606’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 · 92606

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.37

1.37 RVUs× 1.000 GPCI

Practice expense0.93

0.93 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

2.3800

Conversion factor

$33.4009

Medicare rate

$79.49

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

Payment rules and modifiers for 92606

92606 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 · 92606

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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92606 isn’t priced in this setting.

92606 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 92606

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

    Not priced

  • 92605

    AAC evaluation, non-speech device1.75 wRVU

    Not priced

  • 92609

    Speech device therapy, programming and use training1.5 wRVU

    $102.54

  • 92607

    AAC evaluation, prescription assessment, first hour1.85 wRVU

    $122.25

How to choose

92605AAC evaluationNon-speech device
Choose 92605 for evaluating the patient for a non-speech-generating device prescription; choose 92606 for therapy involving use of the device.
92609Speech device therapyProgramming and use training
92606 concerns therapeutic services with a non-speech-generating device. 92609 concerns therapeutic services with a speech-generating device.
92607AAC evaluationPrescription assessment, first hour
92607 is an evaluation for a speech-generating device prescription, not therapeutic work using a non-speech-generating device.

Codes related to 92606

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

Codes related to 92606
CodeHow it relatesNational office range
Often billed with
92605AAC evaluation, non-speech deviceThe non-speech device evaluation and therapeutic-use service may be reported when both are performed.No office rate
Used instead
92609Speech device therapy, programming and use trainingReports therapeutic services using a speech-generating device instead.$95.03–$130.93

92606 billing questions

When should 92606 be used instead of 92609?

Use 92606 for therapeutic services involving a non-speech-generating communication device, such as a board. Use 92609 for therapeutic services involving a speech-generating device.

How does 92606 differ from 92605?

92605 is for evaluating a patient for a non-speech-generating device prescription. 92606 describes therapy for using the device, including programming or modification.

What should the record support?

Document the non-speech-generating device and the therapeutic work performed, such as instruction in its use or changes made to support communication.

Does Medicare pay 92606 separately, or can a modifier change that?

No. Medicare assigns status B, so payment for 92606 is included in payment for other services and the code is never paid separately.

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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