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CPT code 92618: AAC device evaluation, additional 30 minutes2026 Medicare rate & RVUs

Reports each additional 30 minutes spent evaluating a patient for a non-speech-generating augmentative and alternative communication device after the initial evaluation hour.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · 92618

AAC device evaluation, additional 30 minutes

Office or facility?

Work RVUs
0.65
Total RVUs
0.83
Global days
ZZZ

National rate · 2026

—

Not priced in the facility setting.

See every locality for 92618 →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 92618 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 92618 covers

Code 92618 represents additional evaluation time for selecting or prescribing a non-speech-generating augmentative and alternative communication device. A speech-language pathologist typically assesses how a patient communicates and which device features or access methods may support communication. Examples include communication boards or books that convey messages without generating speech. The evaluation is generally provided face to face with the patient in a clinical or rehabilitation setting.

This CPT add-on code is reported with 92605, the primary code for the initial evaluation hour; each unit of 92618 represents an additional 30 minutes. Medicare assigns status B under the physician fee schedule, meaning the code is never paid separately and its payment is included in payment for other services. It must be billed with the primary procedure and falls within that procedure's global period.

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 92618 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

92618 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

92618 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
92618 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 92618 rate is calculated

Each of 92618’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 · 92618

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.65

0.65 RVUs× 1.000 GPCI

Practice expense0.30

0.30 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

0.9900

Conversion factor

$33.4009

Medicare rate

$33.07

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

Payment rules and modifiers for 92618

The CMS indicators that decide how 92618 is paid alongside other services.

CMS payment indicators · 92618

AAC device evaluation, additional 30 minutes

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures9The concept doesn’t apply.
Bilateral (modifier 50)9The concept doesn’t apply.
Assistant at surgery (80/81/82/AS)9The concept doesn’t apply.
Co-surgeons (62)9The concept doesn’t apply.
Team surgery (66)9The concept doesn’t apply.
Professional/technical9The concept doesn’t apply.

92618 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 92618

    AAC device evaluation, additional 30 minutes0.65 wRVU

    Not priced

  • 92605

    AAC evaluation, non-speech device1.75 wRVU

    Not priced

  • 92608

    Speech device evaluation, each additional 30 minutes0.7 wRVU

    $47.76

  • 92606

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

    Not priced

How to choose

92605AAC evaluationNon-speech device
92605 covers the initial hour of evaluating a patient for a non-speech-generating AAC device. Use 92618 only for additional evaluation time.
92608Speech device evaluationEach additional 30 minutes
92608 reports additional evaluation time for a speech-generating AAC device; 92618 is for a non-speech-generating device.
92606AAC device therapyNon-speech-generating
92606 describes services for use of a non-speech-generating device, while 92618 covers additional time spent evaluating the patient for one.

Codes related to 92618

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

Codes related to 92618
CodeHow it relatesNational office range
Primary code
92605AAC evaluation, non-speech devicePrimary code for the initial hour of a non-speech-generating AAC device evaluation.No office rate
Used instead
92607AAC evaluation, prescription assessment, first hourInitial evaluation code when the AAC device generates speech.$113.61–$156.90
92608Speech device evaluation, each additional 30 minutesAdditional-time evaluation code for a speech-generating AAC device.$44.33–$61.11

92618 billing questions

Can 92618 be reported by itself?

No. It is an add-on code reported with 92605 for the initial evaluation hour.

How much evaluation time does one unit represent?

Each unit represents an additional 30 minutes beyond the initial hour reported with 92605.

Does Medicare pay 92618 separately?

No. Medicare assigns status B, so payment is included in payment for other services.

How does 92618 differ from 92608?

92618 reports additional evaluation time for a non-speech-generating AAC device. 92608 is the additional-time code for evaluating a speech-generating device.

How does 92618 differ from 92606?

92618 is for additional time evaluating a patient for a non-speech-generating device. 92606 describes services involving use of that type of 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

Open CMS sourceHow we calculate rates

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