CPT code 92608: Speech device evaluation, each additional 30 minutes2026 Medicare rate & RVUs in Kentucky
Reports additional evaluation time beyond the initial hour spent assessing a patient’s needs and suitability for a speech-generating communication device.
In Kentucky, Medicare pays $45.06 for 92608 in the office.
Check a contract rate as a % of Medicare · 92608 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 92608 covers
A speech-language pathologist uses this service when evaluating a patient for a speech-generating device, such as an augmentative and alternative communication system. The assessment may address communication needs, the patient’s ability to access and operate a device, and which device features or options may support communication. It is used for the additional evaluation time after the initial hour, not for ongoing training or treatment in using a device.
Report 92608 with 92607, the primary code for the initial hour of speech-generating device evaluation. Document the assessment, the clinical basis for device recommendations, and the time supporting each additional 30-minute increment. CMS treats 92608 as an add-on code and pays it within the primary procedure’s global period. The professional component modifier does not apply to this therapy service.
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 Kentucky compares for 92608
Across 109 of 109 payment localities, the office rate for 92608 runs from $44.33 in Arkansas to $61.11 in Santa Clara County, CA. Kentucky pays $45.06. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Kentucky · this page$45.06
- Los Angeles, CA · California$53.18+$8.12
- Washington, DC area · District of Columbia$53.37+$8.31
- Miami, FL · Florida$48.76+$3.70
- Chicago, IL · Illinois$48.05+$2.99
- Manhattan, NY · New York$53.21+$8.15
- Alaska · Alaska$61.04+$15.98
Other areas in Kentucky first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $44.72 | — |
| ArkansasArkansas | $44.33 | — |
| ArizonaArizona | $47.01 | — |
| Bakersfield, CACalifornia | $50.55 | — |
| Chico, CACalifornia | $50.50 | — |
| El Centro, CACalifornia | $50.50 | — |
| Fresno, CACalifornia | $50.50 | — |
| Hanford, CACalifornia | $50.50 | — |
| Madera, CACalifornia | $50.50 | — |
| Merced, CACalifornia | $50.50 | — |
| Modesto, CACalifornia | $50.50 | — |
| Napa, CACalifornia | $56.99 | — |
| Oxnard, CACalifornia | $52.86 | — |
| Redding, CACalifornia | $50.50 | — |
| Rest of CaliforniaCalifornia | $50.50 | — |
| Riverside, CACalifornia | $50.52 | — |
| Sacramento, CACalifornia | $52.58 | — |
| Salinas, CACalifornia | $52.36 | — |
| San Diego, CACalifornia | $53.24 | — |
| Marin County, CACalifornia | $59.98 | — |
| San Francisco, CACalifornia | $59.98 | — |
| San Benito County, CACalifornia | $61.11 | — |
| Santa Clara County, CACalifornia | $61.11 | — |
| San Luis Obispo, CACalifornia | $51.55 | — |
| Santa Cruz, CACalifornia | $53.50 | — |
| Santa Maria, CACalifornia | $52.47 | — |
| Santa Rosa, CACalifornia | $54.02 | — |
| Stockton, CACalifornia | $50.50 | — |
| Vallejo, CACalifornia | $56.99 | — |
| Visalia, CACalifornia | $50.50 | — |
| Yuba City, CACalifornia | $50.50 | — |
| ColoradoColorado | $49.60 | — |
| ConnecticutConnecticut | $50.11 | — |
| DelawareDelaware | $47.59 | — |
| Fort Lauderdale, FLFlorida | $48.08 | — |
| Rest of FloridaFlorida | $46.69 | — |
| Atlanta, GAGeorgia | $48.22 | — |
| Rest of GeorgiaGeorgia | $45.13 | — |
| Hawaii, Guam, HIHawaii | $51.10 | — |
| IowaIowa | $45.69 | — |
| IdahoIdaho | $45.81 | — |
| East St. Louis, ILIllinois | $45.81 | — |
| Rest of IllinoisIllinois | $45.64 | — |
| Suburban Chicago, ILIllinois | $48.59 | — |
| IndianaIndiana | $45.98 | — |
| KansasKansas | $45.42 | — |
| New Orleans, LALouisiana | $46.32 | — |
| Rest of LouisianaLouisiana | $44.96 | — |
| Metropolitan Boston, MAMassachusetts | $53.45 | — |
| Rest of MassachusettsMassachusetts | $49.43 | — |
| Baltimore area, MDMaryland | $49.92 | — |
| Rest of MarylandMaryland | $48.29 | — |
| Rest of MaineMaine | $45.81 | — |
| Southern Maine, MEMaine | $47.54 | — |
| Detroit, MIMichigan | $46.91 | — |
| Rest of MichiganMichigan | $45.64 | — |
| MinnesotaMinnesota | $48.47 | — |
| Metropolitan Kansas City, MOMissouri | $46.28 | — |
| Metropolitan St. Louis, MOMissouri | $46.59 | — |
| Rest of MissouriMissouri | $44.40 | — |
| MississippiMississippi | $44.37 | — |
| MontanaMontana | $47.76 | — |
| North CarolinaNorth Carolina | $46.13 | — |
| North DakotaNorth Dakota | $47.76 | — |
| NebraskaNebraska | $45.89 | — |
| New HampshireNew Hampshire | $48.76 | — |
| Northern New JerseyNew Jersey | $53.14 | — |
| Rest of New JerseyNew Jersey | $50.94 | — |
| New MexicoNew Mexico | $45.74 | — |
| NevadaNevada | $47.79 | — |
| NYC suburbs and Long Island, NYNew York | $53.87 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $51.13 | — |
| Queens, NYNew York | $53.70 | — |
| Rest of New YorkNew York | $46.54 | — |
| OhioOhio | $45.64 | — |
| OklahomaOklahoma | $45.15 | — |
| Portland, OROregon | $50.84 | — |
| Rest of OregonOregon | $47.67 | — |
| Metropolitan Philadelphia, PAPennsylvania | $49.18 | — |
| Rest of PennsylvaniaPennsylvania | $45.76 | — |
| Puerto RicoPuerto Rico | $48.03 | — |
| Rhode IslandRhode Island | $49.01 | — |
| South CarolinaSouth Carolina | $45.91 | — |
| South DakotaSouth Dakota | $47.76 | — |
| TennesseeTennessee | $45.54 | — |
| Austin, TXTexas | $49.22 | — |
| Beaumont, TXTexas | $45.57 | — |
| Brazoria, TXTexas | $47.73 | — |
| Dallas, TXTexas | $47.88 | — |
| Fort Worth, TXTexas | $47.63 | — |
| Galveston, TXTexas | $47.78 | — |
| Houston, TXTexas | $47.78 | — |
| Rest of TexasTexas | $46.52 | — |
| UtahUtah | $46.30 | — |
| VirginiaVirginia | $47.35 | — |
| Virgin Islands, VIUnited States Virgin Islands | $48.03 | — |
| VermontVermont | $47.52 | — |
| Rest of WashingtonWashington | $49.36 | — |
| King County, WAWashington | $54.47 | — |
| WisconsinWisconsin | $46.74 | — |
| West VirginiaWest Virginia | $44.57 | — |
| WyomingWyoming | $47.76 | — |
92608 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.
$44.33
$61.04
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $61.04 | 1 |
| AL | $44.72 | 1 |
| AR | $44.33 | 1 |
| AZ | $47.01 | 1 |
| CA | $50.50–$61.11 | 29 |
| CO | $49.60 | 1 |
| CT | $50.11 | 1 |
| DC | $53.37 | 1 |
| DE | $47.59 | 1 |
| FL | $46.69–$48.76 | 3 |
| GA | $45.13–$48.22 | 2 |
| GU | $51.10 | 1 |
| HI | $51.10 | 1 |
| IA | $45.69 | 1 |
| ID | $45.81 | 1 |
| IL | $45.64–$48.59 | 4 |
| IN | $45.98 | 1 |
| KS | $45.42 | 1 |
| KY | $45.06 | 1 |
| LA | $44.96–$46.32 | 2 |
| MA | $49.43–$53.45 | 2 |
| MD | $48.29–$53.37 | 3 |
| ME | $45.81–$47.54 | 2 |
| MI | $45.64–$46.91 | 2 |
| MN | $48.47 | 1 |
| MO | $44.40–$46.59 | 3 |
| MS | $44.37 | 1 |
| MT | $47.76 | 1 |
| NC | $46.13 | 1 |
| ND | $47.76 | 1 |
| NE | $45.89 | 1 |
| NH | $48.76 | 1 |
| NJ | $50.94–$53.14 | 2 |
| NM | $45.74 | 1 |
| NV | $47.79 | 1 |
| NY | $46.54–$53.87 | 5 |
| OH | $45.64 | 1 |
| OK | $45.15 | 1 |
| OR | $47.67–$50.84 | 2 |
| PA | $45.76–$49.18 | 2 |
| PR | $48.03 | 1 |
| RI | $49.01 | 1 |
| SC | $45.91 | 1 |
| SD | $47.76 | 1 |
| TN | $45.54 | 1 |
| TX | $45.57–$49.22 | 8 |
| UT | $46.30 | 1 |
| VA | $47.35–$53.37 | 2 |
| VI | $48.03 | 1 |
| VT | $47.52 | 1 |
| WA | $49.36–$54.47 | 2 |
| WI | $46.74 | 1 |
| WV | $44.57 | 1 |
| WY | $47.76 | 1 |
How the 92608 rate is calculated
Each of 92608’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 · 92608
RVUs × geographic indexes × conversion factor
Work0.70
0.70 RVUs× 1.000 GPCI
Practice expense0.73
0.73 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
1.4300
Conversion factor
$33.4009
Medicare rate
$47.76
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Kentucky inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,866
- Code
- 92608
- Physician work
- 0.70
- Practice expense
- 0.73
- Malpractice
- 0.00
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.70 | × 1.000 | 0.7000 |
| Practice expense | 0.73 | × 0.889 | 0.6490 |
| Malpractice | 0.00 | × 0.915 | 0.0000 |
| Total RVUs | 1.3490 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Kentucky$45.06
Office: (0.7 × 1 + 0.73 × 0.889 + 0 × 0.915) × $33.4009 = $45.06
Payment rules and modifiers for 92608
The CMS indicators that decide how 92608 is paid alongside other services.
CMS payment indicators · 92608
Speech device evaluation, each additional 30 minutes
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 7 | Therapy service: the split doesn’t apply. |
What modifiers do to the payment
Modifier CQ · payment effect
With and without the modifier
92608 without CQ · national office
$47.76
Speech device evaluation, each additional 30 minutes
92608-CQ · Allowed amount unchanged
$47.76
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 92608 has changed in Kentucky
92608 · Office / nonfacility
$45.06
Effective 2026-10-01
The base rate is $0.55 higher than on 2025-10-01, moving from $44.51 to $45.06 (1.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$44.51changed to$45.06
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.75 changed to 0.73
- Malpractice RVU 0.02 changed to 0.00
- Practice expense GPCI 0.877 changed to 0.889
- Malpractice GPCI 0.913 changed to 0.915
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$45.51changed to$44.51
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.74 changed to 0.75
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$44.77changed to$45.51
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$45.91changed to$44.77
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.73 changed to 0.74
- Practice expense GPCI 0.873 changed to 0.877
- Malpractice GPCI 0.870 changed to 0.913
January 1, 2023
RVU23A
$46.72changed to$45.91
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.71 changed to 0.73
- Malpractice RVU 0.04 changed to 0.02
- Practice expense GPCI 0.869 changed to 0.873
- Malpractice GPCI 0.827 changed to 0.870
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$47.71changed to$46.72
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.73 changed to 0.71
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$49.50changed to$47.71
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.74 changed to 0.73
- Malpractice RVU 0.03 changed to 0.04
- Practice expense GPCI 0.874 changed to 0.869
- Malpractice GPCI 0.823 changed to 0.827
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$49.60changed to$49.50
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.75 changed to 0.74
- Malpractice RVU 0.02 changed to 0.03
- Practice expense GPCI 0.880 changed to 0.874
- Malpractice GPCI 0.819 changed to 0.823
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$50.18changed to$49.60
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.77 changed to 0.75
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$50.20changed to$50.18
- Conversion factor 35.8887 changed to 35.9996
- Malpractice RVU 0.03 changed to 0.02
- Practice expense GPCI 0.876 changed to 0.880
- Malpractice GPCI 0.807 changed to 0.819
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$49.65changed to$50.20
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.76 changed to 0.77
- Practice expense GPCI 0.872 changed to 0.876
- Malpractice GPCI 0.795 changed to 0.807
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$50.17changed to$49.65
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 0.78 changed to 0.76
- Malpractice RVU 0.02 changed to 0.03
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$49.92changed to$50.17
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$49.93changed to$49.92
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.76 changed to 0.78
- Malpractice RVU 0.04 changed to 0.02
- Malpractice GPCI 0.774 changed to 0.795
Held through RVU15B.
January 1, 2014
RVU14A
$44.69changed to$49.93
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.67 changed to 0.76
- Practice expense GPCI 0.871 changed to 0.872
- Malpractice GPCI 0.752 changed to 0.774
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $44.69
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $45.06 | Not available in this setting | RVU26D |
| 2026-07-01 | $45.06 | Not available in this setting | RVU26C |
| 2026-04-01 | $45.06 | Not available in this setting | RVU26B |
| 2026-01-01 | $45.06 | Not available in this setting | RVU26A |
| 2025-10-01 | $44.51 | Not available in this setting | RVU25D |
| 2025-07-01 | $44.51 | Not available in this setting | RVU25C |
| 2025-04-01 | $44.51 | Not available in this setting | RVU25B |
| 2025-01-01 | $44.51 | Not available in this setting | RVU25A |
| 2024-10-01 | $45.51 | Not available in this setting | RVU24D |
| 2024-07-01 | $45.51 | Not available in this setting | RVU24C |
| 2024-04-01 | $45.51 | Not available in this setting | RVU24B |
| 2024-03-09 | $45.51 | Not available in this setting | RVU24AR |
| 2024-01-01 | $44.77 | Not available in this setting | RVU24A |
| 2023-10-01 | $45.91 | Not available in this setting | RVU23D |
| 2023-07-01 | $45.91 | Not available in this setting | RVU23C |
| 2023-04-01 | $45.91 | Not available in this setting | RVU23B |
| 2023-01-01 | $45.91 | Not available in this setting | RVU23A |
| 2022-10-01 | $46.72 | Not available in this setting | RVU22D |
| 2022-07-01 | $46.72 | Not available in this setting | RVU22C |
| 2022-04-01 | $46.72 | Not available in this setting | RVU22B |
| 2022-01-01 | $46.72 | Not available in this setting | RVU22A |
| 2021-10-01 | $47.71 | Not available in this setting | RVU21D |
| 2021-07-01 | $47.71 | Not available in this setting | RVU21C |
| 2021-04-01 | $47.71 | Not available in this setting | RVU21B |
| 2021-01-01 | $47.71 | Not available in this setting | RVU21A |
| 2020-10-01 | $49.50 | Not available in this setting | RVU20D |
| 2020-07-01 | $49.50 | Not available in this setting | RVU20C |
| 2020-04-01 | $49.50 | Not available in this setting | RVU20B |
| 2020-01-01 | $49.50 | Not available in this setting | RVU20A |
| 2019-10-01 | $49.60 | Not available in this setting | RVU19D |
| 2019-07-01 | $49.60 | Not available in this setting | RVU19C |
| 2019-04-01 | $49.60 | Not available in this setting | RVU19B |
| 2019-01-01 | $49.60 | Not available in this setting | RVU19A |
| 2018-10-01 | $50.18 | Not available in this setting | RVU18D |
| 2018-07-01 | $50.18 | Not available in this setting | RVU18C |
| 2018-04-01 | $50.18 | Not available in this setting | RVU18B |
| 2018-01-01 | $50.18 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $50.20 | Not available in this setting | RVU17D |
| 2017-07-01 | $50.20 | Not available in this setting | RVU17C |
| 2017-04-01 | $50.20 | Not available in this setting | RVU17B |
| 2017-01-01 | $50.20 | Not available in this setting | RVU17A |
| 2016-10-01 | $49.65 | Not available in this setting | RVU16D |
| 2016-07-01 | $49.65 | Not available in this setting | RVU16C |
| 2016-04-01 | $49.65 | Not available in this setting | RVU16B |
| 2016-01-01 | $49.65 | Not available in this setting | RVU16A |
| 2015-10-01 | $50.17 | Not available in this setting | RVU15D |
| 2015-07-01 | $50.17 | Not available in this setting | RVU15C |
| 2015-04-01 | $49.92 | Not available in this setting | RVU15B |
| 2015-01-01 | $49.92 | Not available in this setting | RVU15A |
| 2014-10-01 | $49.93 | Not available in this setting | RVU14D |
| 2014-07-01 | $49.93 | Not available in this setting | RVU14C |
| 2014-04-01 | $49.93 | Not available in this setting | RVU14B |
| 2014-01-01 | $49.93 | Not available in this setting | RVU14A |
| 2013-10-01 | $44.69 | Not available in this setting | RVU13D |
| 2013-07-01 | $44.69 | Not available in this setting | RVU13C |
| 2013-04-01 | $44.69 | Not available in this setting | RVU13B |
| 2013-01-01 | $44.69 | Not available in this setting | RVU13AR |
Where the Kentucky rate applies
Kentucky is a Medicare payment area, not a city. Our Census mapping connects it to 553 cities and communities in Kentucky. Some span more than one payment area; confirm with the service ZIP.
- Adairville
- Ages
- Albany
- Alexandria
- Allen
- Allensville
- Anchorage
- Annville
92608 billing questions
When should 92608 be reported instead of 92607?
92607 covers the initial hour of a speech-generating device evaluation. Report 92608 for each additional 30 minutes of evaluation time, with 92607 as the primary code.
Can 92608 be billed by itself?
No. It is an add-on code and must be reported with 92607.
What documentation supports an additional unit?
Record the evaluation activities, findings relevant to the speech-generating device recommendation, and the time supporting each additional 30-minute increment.
Is modifier 26 appropriate for 92608?
No. CMS identifies this as a therapy service for which the professional component modifier does not apply.
How does 92608 differ from 92618?
92608 covers additional time evaluating a patient for a speech-generating device. 92618 is the corresponding additional-time code for evaluation of a nonspeech-generating device.
Does 92608 describe device-use training?
No. It covers additional evaluation time for a speech-generating device prescription; 92609 describes services for use of a speech-generating device.
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
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