CPT code 92606: AAC device therapy, non-speech-generating2026 Medicare rate & RVUs in Missouri
Reports therapeutic work helping a patient use a non-speech-generating communication device, such as a communication board, including programming or modification.
CMS doesn’t publish an office rate for 92606 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 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 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 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
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
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.
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.
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