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CPT code 92597: Voice device evaluation2026 Medicare rate & RVUs

A speech-language pathologist evaluates or fits a voice prosthetic device, such as an electrolarynx, to support oral speech after laryngectomy.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.9K Medicare services in 2024

Medicare pays $71.14 for 92597 nationally in the office. Local office rates run $66.68–$93.30.

Medicare rate · 92597

Voice device evaluation

Work RVUs
1.23
Total RVUs
2.13
Global days
XXX

National rate · 2026

$71.14

Office setting, before claim adjustments.

See every locality for 92597 →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
  1. Medicare rate
  2. What 92597 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 92597 covers

A speech-language pathologist assesses whether a patient can use a voice prosthetic device to produce oral speech and may help select or fit the device. A typical situation is a person after total laryngectomy learning to communicate with an electrolarynx or a tracheoesophageal voice prosthesis. The service may occur in an outpatient therapy clinic or a hospital setting.

Report this code for the evaluation or fitting of the voice device, rather than for general speech treatment alone or for an audiology test. Documentation should identify the communication impairment, device assessed or fitted, and the patient’s ability to use it for speech. This is a therapy service, so the professional component modifier does not apply. Under Medicare’s therapy multiple procedure payment reduction, practice expense is reduced for the second and subsequent therapy units on the same day.

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 92597 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

$66.68 to $93.30

$66.68$79.99$93.30
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

92597 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$67.18Unavailable
Alaska*$93.30Unavailable
Arizona$70.14Unavailable
Arkansas$66.68Unavailable
Atlanta$71.87Unavailable
Austin$72.85Unavailable
Bakersfield$74.49Unavailable
Baltimore/Surr. Cntys$74.11Unavailable
Beaumont$68.45Unavailable
Brazoria$71.06Unavailable

92597 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.

$66.68

$93.30

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

View every state and territory as a table
92597 office rate range by state
State / territoryOffice rate rangeLocalities
AK$93.301
AL$67.181
AR$66.681
AZ$70.141
CA$74.35–$88.3429
CO$73.371
CT$74.371
DC$78.671
DE$70.931
FL$70.19–$73.373
GA$68.10–$71.872
GU$74.891
HI$74.891
IA$68.241
ID$68.441
IL$68.96–$72.744
IN$68.651
KS$67.991
KY$67.821
LA$67.74–$69.502
MA$73.22–$78.462
MD$71.85–$78.673
ME$68.54–$70.632
MI$68.67–$70.572
MN$71.531
MO$67.07–$69.733
MS$66.881
MT$71.141
NC$68.931
ND$70.751
NE$68.471
NH$72.271
NJ$75.56–$78.482
NM$68.841
NV$71.061
NY$69.48–$79.905
OH$68.591
OK$67.851
OR$70.83–$74.892
PA$68.70–$73.222
PR$71.461
RI$72.821
SC$68.811
SD$70.701
TN$68.161
TX$68.45–$72.858
UT$69.311
VA$70.45–$78.672
VI$71.461
VT$70.521
WA$73.08–$79.752
WI$69.451
WV$67.581
WY$70.971

How the 92597 rate is calculated

Each of 92597’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 · 92597

RVUs × geographic indexes × conversion factor

Work1.23

1.23 RVUs× 1.000 GPCI

Practice expense0.88

0.88 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

2.1300

Conversion factor

$33.4009

Medicare rate

$71.14

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

Payment rules and modifiers for 92597

The CMS indicators that decide how 92597 is paid alongside other services.

CMS payment indicators · 92597

Voice device evaluation

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

92597 without CQ · national office

$71.14

Voice device evaluation

92597-CQ · Allowed amount unchanged

$71.14

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.

92597 compared with similar codes

Compare codes · National

4 codes, side by side

  • 92597

    Voice device evaluation1.23 wRVU

    $71.14

  • 92507

    Speech therapy1.3 wRVU

    $76.15+$5.01

  • 92607

    AAC evaluation1.85 wRVU

    $122.25+$51.11

  • 92609

    Speech device therapy1.5 wRVU

    $102.54+$31.40

How to choose

92507Speech therapy
92597 addresses evaluation or fitting of a voice prosthetic device. Use 92507 for speech, language, or voice treatment that does not include that device service.
92607AAC evaluation
92607 is an evaluation for a speech-generating AAC device. 92597 is for a voice prosthetic device used to support oral speech.
92609Speech device therapy
92609 covers therapy for using a speech-generating AAC device; 92597 covers evaluation or fitting of a voice prosthetic device.

Codes related to 92597

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

Codes related to 92597
CodeHow it relatesNational office range
Used instead
92507Speech therapySpeech or voice treatment without evaluation or fitting of a voice prosthetic device.$71.42–$99.82
92607AAC evaluationEvaluation for a speech-generating AAC device rather than a voice prosthetic device.$113.61–$156.90
92609Speech device therapyTherapy for using a speech-generating AAC device, a different communication method.$95.03–$130.93

92597 billing questions

When should this code be chosen instead of 92507?

Use 92597 when the service evaluates or fits a voice prosthetic device for oral speech. Use 92507 for speech, language, or voice treatment that is not the device evaluation or fitting.

Does this code cover speech therapy after the fitting?

It covers evaluation or fitting of the voice device. A separate speech-treatment service may be reported when it is performed and documented as distinct therapy.

Can 92597 be reported with modifier -26?

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

How does Medicare’s therapy multiple procedure reduction affect this code?

When multiple therapy units are furnished on the same day, practice expense is reduced for the second and subsequent units.

How does this differ from an AAC device evaluation?

92597 concerns a voice prosthetic device used to produce oral speech. Code 92607 concerns evaluation for a speech-generating augmentative and alternative communication 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
RVUs for 92597PPRRVU2026_Oct_nonQPP.csv, line 11,858 (RVU26D)

Open CMS sourceHow we calculate rates

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