CPT code 92607: AAC evaluation, prescription assessment, first hour2026 Medicare rate & RVUs in Alabama

A speech-language pathologist evaluates a patient’s communication needs and access options to recommend a speech-generating device during the first hour of assessment.

CMS RVU26DEffective Oct 1, 2026One payment locality649 Medicare services in 2024

In Alabama, Medicare pays $114.59 for 92607 in the office.

$114.59Office (non-facility)
Not available in this settingHospital or facility
−6.3%vs the national office rate ($122.25)

Check a contract rate as a % of Medicare · 92607 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 92607 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alabama
  2. What 92607 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 92607 covers

A speech-language pathologist with augmentative and alternative communication expertise evaluates whether a speech-generating device can meet a patient’s communication needs. The assessment may address people with complex communication needs, such as someone with ALS or cerebral palsy, and consider communication abilities, access methods, device features, and trials of candidate systems. It is commonly performed in an outpatient therapy setting with the patient present.

Report 92607 for the first hour of the face-to-face evaluation; report 92608 for each additional 30 minutes when the evaluation continues. Documentation should identify the patient’s communication needs, assessment activities, device or access options considered, recommendation, and time spent. CMS classifies this as a therapy service, so the professional component modifier does not apply. For multiple therapy units 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 Alabama compares for 92607

Across 109 of 109 payment localities, the office rate for 92607 runs from $113.61 in Arkansas to $156.90 in Alaska. Alabama pays $114.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

92607 in Alabama vs other payment areas
  1. Alabama · this page$114.59
  2. Los Angeles, CA · California$135.67+$21.08
  3. Washington, DC area · District of Columbia$136.32+$21.73
  4. Miami, FL · Florida$125.22+$10.63
  5. Chicago, IL · Illinois$123.41+$8.82
  6. Manhattan, NY · New York$136.14+$21.55
  7. Alaska · Alaska$156.90+$42.31

Other areas in Alabama first, then benchmark localities. Bars start at $0.

Every other payment area

92607 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$113.61—
ArizonaArizona$120.34—
Bakersfield, CACalifornia$129.06—
Chico, CACalifornia$128.91—
El Centro, CACalifornia$128.92—
Fresno, CACalifornia$128.91—
Hanford, CACalifornia$128.91—
Madera, CACalifornia$128.91—

92607 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.

$113.61

$156.90

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
92607 office rate range by state
State / territoryOffice rate rangeLocalities
AK$156.901
AL$114.591
AR$113.611
AZ$120.341
CA$128.91–$155.4629
CO$126.761
CT$128.181
DC$136.321
DE$121.801
FL$119.77–$125.223
GA$115.82–$123.462
GU$130.341
HI$130.341
IA$116.941
ID$117.261
IL$117.20–$124.564
IN$117.691
KS$116.311
KY$115.551
LA$115.32–$118.752
MA$126.35–$136.412
MD$123.56–$136.323
ME$117.31–$121.582
MI$117.06–$120.372
MN$123.761
MO$113.94–$119.363
MS$113.801
MT$122.251
NC$118.101
ND$122.051
NE$117.411
NH$124.671
NJ$130.28–$135.782
NM$117.321
NV$122.251
NY$119.14–$137.855
OH$117.021
OK$115.741
OR$121.91–$129.822
PA$117.30–$125.892
PR$122.901
RI$125.371
SC$117.631
SD$122.031
TN$116.621
TX$116.81–$125.828
UT$118.611
VA$121.13–$136.322
VI$122.901
VT$121.481
WA$126.16–$138.922
WI$119.491
WV$114.521
WY$122.161

See 92607 in every payment locality

How the 92607 rate is calculated

Each of 92607’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 · 92607

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.85

1.85 RVUs× 1.000 GPCI

Practice expense1.80

1.80 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

3.6600

Conversion factor

$33.4009

Medicare rate

$122.25

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

The exact Alabama inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,865

Code
92607
Physician work
1.85
Practice expense
1.80
Malpractice
0.01

GPCI2026.csv

4

Locality
Alabama
Physician work
1.000
Practice expense
0.875
Malpractice
0.566
Office calculation for 92607 in Alabama
ComponentRVULocality factorAdjusted
Physician work1.85× 1.0001.8500
Practice expense1.80× 0.8751.5750
Malpractice0.01× 0.5660.0057
Total RVUs3.4307
Conversion factor× 33.4009

Office rate, Alabama$114.59

Office: (1.85 × 1 + 1.8 × 0.875 + 0.01 × 0.566) × $33.4009 = $114.59

Open 92607 in the RVU calculator

Payment rules and modifiers for 92607

The CMS indicators that decide how 92607 is paid alongside other services.

CMS payment indicators · 92607

AAC evaluation, prescription assessment, first hour

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures5Therapy reduction: practice expense of the second and later units is reduced.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical7Therapy service: the split doesn’t apply.

What modifiers do to the payment

Modifier CQ · payment effect

With and without the modifier

92607 without CQ · national office

$122.25

AAC evaluation, prescription assessment, first hour

92607-CQ · Allowed amount unchanged

$122.25

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 92607 has changed in Alabama

92607 · Office / nonfacility

$114.59

Effective 2026-10-01

The base rate is $2.00 higher than on 2025-10-01, moving from $112.59 to $114.59 (1.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $112.59changed to$114.59

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 1.85 changed to 1.80
    • Malpractice RVU 0.04 changed to 0.01
    • Practice expense GPCI 0.869 changed to 0.875
    • Malpractice GPCI 0.575 changed to 0.566

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $115.19changed to$112.59

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.82 changed to 1.85
    • Malpractice RVU 0.05 changed to 0.04

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $113.31changed to$115.19

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $117.26changed to$113.31

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.80 changed to 1.82
    • Malpractice RVU 0.04 changed to 0.05
    • Practice expense GPCI 0.878 changed to 0.869
    • Malpractice GPCI 0.748 changed to 0.575
  5. January 1, 2023

    RVU23A

    $119.73changed to$117.26

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.73 changed to 1.80
    • Malpractice RVU 0.08 changed to 0.04
    • Practice expense GPCI 0.888 changed to 0.878
    • Malpractice GPCI 0.921 changed to 0.748

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $120.70changed to$119.73

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.75 changed to 1.73
    • Malpractice RVU 0.06 changed to 0.08

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $124.31changed to$120.70

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.73 changed to 1.75
    • Malpractice RVU 0.08 changed to 0.06
    • Practice expense GPCI 0.889 changed to 0.888
    • Malpractice GPCI 0.707 changed to 0.921

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $124.69changed to$124.31

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.77 changed to 1.73
    • Malpractice RVU 0.07 changed to 0.08
    • Practice expense GPCI 0.890 changed to 0.889
    • Malpractice GPCI 0.492 changed to 0.707

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $125.19changed to$124.69

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.79 changed to 1.77

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$125.19

    Held through RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$114.59Not available in this settingRVU26D
2026-07-01$114.59Not available in this settingRVU26C
2026-04-01$114.59Not available in this settingRVU26B
2026-01-01$114.59Not available in this settingRVU26A
2025-10-01$112.59Not available in this settingRVU25D
2025-07-01$112.59Not available in this settingRVU25C
2025-04-01$112.59Not available in this settingRVU25B
2025-01-01$112.59Not available in this settingRVU25A
2024-10-01$115.19Not available in this settingRVU24D
2024-07-01$115.19Not available in this settingRVU24C
2024-04-01$115.19Not available in this settingRVU24B
2024-03-09$115.19Not available in this settingRVU24AR
2024-01-01$113.31Not available in this settingRVU24A
2023-10-01$117.26Not available in this settingRVU23D
2023-07-01$117.26Not available in this settingRVU23C
2023-04-01$117.26Not available in this settingRVU23B
2023-01-01$117.26Not available in this settingRVU23A
2022-10-01$119.73Not available in this settingRVU22D
2022-07-01$119.73Not available in this settingRVU22C
2022-04-01$119.73Not available in this settingRVU22B
2022-01-01$119.73Not available in this settingRVU22A
2021-10-01$120.70Not available in this settingRVU21D
2021-07-01$120.70Not available in this settingRVU21C
2021-04-01$120.70Not available in this settingRVU21B
2021-01-01$120.70Not available in this settingRVU21A
2020-10-01$124.31Not available in this settingRVU20D
2020-07-01$124.31Not available in this settingRVU20C
2020-04-01$124.31Not available in this settingRVU20B
2020-01-01$124.31Not available in this settingRVU20A
2019-10-01$124.69Not available in this settingRVU19D
2019-07-01$124.69Not available in this settingRVU19C
2019-04-01$124.69Not available in this settingRVU19B
2019-01-01$124.69Not available in this settingRVU19A
2018-10-01$125.19Not available in this settingRVU18D
2018-07-01$125.19Not available in this settingRVU18C
2018-04-01$125.19Not available in this settingRVU18B
2018-01-01Rate data unavailableNot available in this settingRVU18AR1
2017-10-01Rate data unavailableNot available in this settingRVU17D
2017-07-01Rate data unavailableNot available in this settingRVU17C
2017-04-01Rate data unavailableNot available in this settingRVU17B
2017-01-01Rate data unavailableNot available in this settingRVU17A
2016-10-01Rate data unavailableNot available in this settingRVU16D
2016-07-01Rate data unavailableNot available in this settingRVU16C
2016-04-01Rate data unavailableNot available in this settingRVU16B
2016-01-01Rate data unavailableNot available in this settingRVU16A
2015-10-01Rate data unavailableNot available in this settingRVU15D
2015-07-01Rate data unavailableNot available in this settingRVU15C
2015-04-01Rate data unavailableNot available in this settingRVU15B
2015-01-01Rate data unavailableNot available in this settingRVU15A
2014-10-01Rate data unavailableNot available in this settingRVU14D
2014-07-01Rate data unavailableNot available in this settingRVU14C
2014-04-01Rate data unavailableNot available in this settingRVU14B
2014-01-01Rate data unavailableNot available in this settingRVU14A
2013-10-01Rate data unavailableNot available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price 92607 for an earlier date of service

Where the Alabama rate applies

Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.

  • Abanda
  • Abbeville
  • Adamsville
  • Addison
  • Akron
  • Alabaster
  • Albertville
  • Alexander City

Browse all communities in Alabama

92607 billing questions

How is 92607 different from 92605?

92607 covers evaluation to recommend a speech-generating device. 92605 is for evaluating a prescription for a nonspeech-generating communication device.

When is 92608 reported with 92607?

92608 is reported for each additional 30 minutes of the speech-generating device evaluation after the first hour represented by 92607.

Does 92607 include device training or programming?

No. It covers evaluation for a device recommendation; 92609 describes services involving use of a speech-generating device, including programming or modification.

Should modifier 26 be appended?

No. CMS identifies 92607 as a therapy service for which the professional component modifier does not apply.

What time and assessment details should the record support?

Document face-to-face evaluation time and the communication needs, assessment activities, access methods or candidate devices considered, and resulting recommendation.

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
RVUs for 92607PPRRVU2026_Oct_nonQPP.csv, line 11,865 (RVU26D)
Geographic factors for AlabamaGPCI2026.csv, line 4 (RVU26D)

Open CMS sourceHow we calculate rates

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