Billing code 92520: Laryngeal testingMedicare rate & RVUs
Reports objective testing of laryngeal voice function, such as aerodynamic and acoustic measures, during evaluation of dysphonia or other voice concerns.
Medicare pays $90.85 for 92520 nationally in the office and $32.40 in a hospital or facility. Local office rates run $81.25–$122.31.
Medicare rate · 92520
Laryngeal testing
Swap in your local Medicare rate.
- Work RVUs
- 0.73
- Total RVUs
- 2.72
- Global days
- XXX
National rate · 2026
$90.85
Office setting, before claim adjustments.
See every locality for 92520 → · 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.
On this page 10 sections
What 92520 covers
This service assesses how the larynx produces voice using objective aerodynamic and acoustic measures. A voice-specialized speech-language pathologist or an otolaryngology team may perform it in an outpatient voice clinic or another setting equipped for voice testing. It can help characterize concerns such as persistent hoarseness or changes in vocal function, including during assessment before or after treatment.
Select this code when the documented service is laryngeal function testing, rather than a behavioral or qualitative assessment of voice alone. The record should identify the testing performed, relevant findings or measurements, and the clinical reason for the study. Report the service based on the testing actually completed and documented. CMS assigns physician fee schedule work, practice expense, and malpractice relative value units, with practice expense values differing between office and facility settings.
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 92520 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$81.25 to $122.31
109 of 109 payment localities
92520 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.
$81.25
$109.79
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 | $107.02 | 1 |
| AL | $82.34 | 1 |
| AR | $81.25 | 1 |
| AZ | $88.71 | 1 |
| CA | $97.27–$122.31 | 29 |
| CO | $95.21 | 1 |
| CT | $96.54 | 1 |
| DC | $103.95 | 1 |
| DE | $90.12 | 1 |
| FL | $88.29–$94.57 | 3 |
| GA | $83.87–$92.11 | 2 |
| GU | $99.58 | 1 |
| HI | $99.58 | 1 |
| IA | $84.85 | 1 |
| ID | $85.23 | 1 |
| IL | $85.50–$93.31 | 4 |
| IN | $85.70 | 1 |
| KS | $84.20 | 1 |
| KY | $83.49 | 1 |
| LA | $83.26–$87.06 | 2 |
| MA | $94.59–$104.54 | 2 |
| MD | $91.83–$103.95 | 3 |
| ME | $85.33–$90.01 | 2 |
| MI | $85.21–$89.01 | 2 |
| MN | $92.29 | 1 |
| MO | $81.75–$87.69 | 3 |
| MS | $81.53 | 1 |
| MT | $90.85 | 1 |
| NC | $86.20 | 1 |
| ND | $90.45 | 1 |
| NE | $85.37 | 1 |
| NH | $93.46 | 1 |
| NJ | $97.94–$102.96 | 2 |
| NM | $85.52 | 1 |
| NV | $90.80 | 1 |
| NY | $87.36–$105.42 | 5 |
| OH | $85.13 | 1 |
| OK | $83.66 | 1 |
| OR | $90.39–$98.37 | 2 |
| PA | $85.42–$94.12 | 2 |
| PR | $91.56 | 1 |
| RI | $93.41 | 1 |
| SC | $85.75 | 1 |
| SD | $90.41 | 1 |
| TN | $84.55 | 1 |
| TX | $84.88–$94.64 | 8 |
| UT | $86.83 | 1 |
| VA | $89.54–$103.95 | 2 |
| VI | $91.56 | 1 |
| VT | $89.86 | 1 |
| WA | $94.50–$106.88 | 2 |
| WI | $87.62 | 1 |
| WV | $82.52 | 1 |
| WY | $90.68 | 1 |
How the 92520 rate is calculated
Each of 92520’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 · 92520
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.73Practice expense 1.97Malpractice 0.02
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 92520
92520 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 · 92520
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$90.85
The facility rate would be $32.40 (+$58.45). In a facility, the facility bills its own costs separately.
92520 compared with similar codes
Compare codes
92520 vs 92524 vs 31579 vs 92507: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 92524Voice evaluation
- Choose 92520 for objective aerodynamic or acoustic laryngeal function testing. Choose 92524 for behavioral and qualitative voice and resonance analysis.
- 31579Laryngoscopy
- 31579 reports laryngeal visualization with stroboscopy; 92520 reports functional voice testing rather than an endoscopic examination.
- 92507Speech therapy
- 92507 is individual speech, language, voice, or communication treatment. 92520 is diagnostic laryngeal function testing, not a therapy session.
92520 billing questions
How does 92520 differ from 92524?
92520 represents objective laryngeal function testing, including aerodynamic or acoustic measures. 92524 is a behavioral and qualitative analysis of voice and resonance.
Does a laryngeal scope replace this testing?
No. A scope documents anatomic visualization, while 92520 represents functional voice testing. Report each service only when it was separately performed and documented.
Who typically performs 92520?
A speech-language pathologist specializing in voice or an otolaryngology team may perform the testing in an outpatient voice clinic or similar setting.
What documentation supports reporting 92520?
Document the clinical reason for testing, the aerodynamic or acoustic procedures performed, and the resulting measurements or findings.
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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