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CMS RVU26D · Effective 2026-10-01

92523 in Chico

Office / nonfacility

$237.88

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Speech-language pathology

About 92523: Speech sound and language evaluation

A speech-language pathologist evaluates speech sound production together with receptive and expressive language to characterize combined communication concerns.

A speech-language pathologist uses this evaluation when both speech sound production and language skills need assessment. For example, a child may have articulation concerns along with difficulty understanding or using language; an adult after a stroke may have speech production and language deficits. The clinician assesses relevant speech sounds and language comprehension and expression, then documents findings and recommendations in an outpatient rehabilitation clinic or hospital setting.

Report 92523 when the evaluation covers both speech sound production and receptive and expressive language. If the assessment addresses speech sound production alone, 92522 is the closer choice; do not separately report that service for the speech-production portion of the same combined evaluation. Documentation should identify the communication concerns assessed, the findings in both domains, and the resulting recommendations or plan. This is a therapy service, so modifier 26 does not apply. When multiple therapy services are furnished on the same day, CMS reduces practice expense for the second and later therapy units.

CMS billing rules for 92523

Professional and technical components
Therapy service: the professional component modifier does not apply.
Multiple procedures
Therapy multiple procedure payment reduction: practice expense is reduced for the second and later therapy units on the same day.

Where the value comes from

  • Work RVU3.84 · 57%
  • Practice expense (office) RVU2.93 · 43%
  • Malpractice RVU0.01 · 0%

42.7K

Medicare services in 2024 · #841 by national volume

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.

92523 compared with similar codes

Office rates for Chico, from the same CMS release.

92522

Speech evaluation

Speech sound production

$116.82

92522 addresses speech sound production alone. Choose 92523 when receptive and expressive language are also evaluated.

92521

Speech evaluation

Fluency

$139.97

92521 focuses on fluency concerns such as stuttering; 92523 combines speech sound production and language assessment.

92524

Voice evaluation

Behavioral and perceptual analysis

$114.44

92524 evaluates voice characteristics and function. It is not the combined speech sound and language assessment represented by 92523.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 92523 is $238.16—$0.28 higher than the $237.88 rate in Chico. Both use the same code, release and participation basis.

92523 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $237.88

  2. Bakersfield

    $238.16

    $0.28 higher than Chico

  3. El Centro

    $237.88

    The same base rate than Chico

  4. Fresno

    $237.88

    The same base rate than Chico

  5. Hanford-Corcoran

    $237.88

    The same base rate than Chico

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $249.51

    $11.63 higher than Chico

  7. Madera

    $237.88

    The same base rate than Chico

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 92523 ranges from $212.50 in Arkansas to $296.80 in Alaska*. This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Merced

    California · 92523

    Office

    $237.88

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Modesto

    California · 92523

    Office

    $237.88

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Napa

    California · 92523

    Office

    $265.50

    Facility

    Unavailable

    $27.62 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 92523

    Office

    $247.73

    Facility

    Unavailable

    $9.85 higher than Chico for the office setting.

  • Redding

    California · 92523

    Office

    $237.88

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 92523

    Office

    $237.88

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 92523

    Office

    $238.11

    Facility

    Unavailable

    $0.23 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 92523

    Office

    $246.87

    Facility

    Unavailable

    $8.99 higher than Chico for the office setting.

  • Salinas

    California · 92523

    Office

    $245.84

    Facility

    Unavailable

    $7.96 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 92523

    Office

    $249.33

    Facility

    Unavailable

    $11.45 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 92523

    Office

    $278.59

    Facility

    Unavailable

    $40.71 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 92523

    Office

    $278.58

    Facility

    Unavailable

    $40.70 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 92523

    Office

    $283.67

    Facility

    Unavailable

    $45.79 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 92523

    Office

    $283.62

    Facility

    Unavailable

    $45.74 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 92523

    Office

    $242.09

    Facility

    Unavailable

    $4.21 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 92523

    Office

    $250.04

    Facility

    Unavailable

    $12.16 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 92523

    Office

    $246.14

    Facility

    Unavailable

    $8.26 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 92523

    Office

    $252.46

    Facility

    Unavailable

    $14.58 higher than Chico for the office setting.

  • Stockton

    California · 92523

    Office

    $237.88

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 92523

    Office

    $265.48

    Facility

    Unavailable

    $27.60 higher than Chico for the office setting.

  • Visalia

    California · 92523

    Office

    $237.88

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 92523

    Office

    $237.88

    Facility

    Unavailable

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 92523

    Office

    $250.84

    Facility

    Unavailable

    $12.96 higher than Chico for the office setting.

  • Miami

    Florida · 92523

    Office

    $230.98

    Facility

    Unavailable

    $6.90 lower than Chico for the office setting.

  • Chicago

    Illinois · 92523

    Office

    $228.28

    Facility

    Unavailable

    $9.60 lower than Chico for the office setting.

  • Manhattan

    New York · 92523

    Office

    $250.72

    Facility

    Unavailable

    $12.84 higher than Chico for the office setting.

  • Alaska*

    Alaska · 92523

    Office

    $296.80

    Facility

    Unavailable

    $58.92 higher than Chico for the office setting.

  • Alabama

    Alabama · 92523

    Office

    $214.08

    Facility

    Unavailable

    $23.80 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 92523

    Office

    $212.50

    Facility

    Unavailable

    $25.38 lower than Chico for the office setting.

  • Arizona

    Arizona · 92523

    Office

    $223.38

    Facility

    Unavailable

    $14.50 lower than Chico for the office setting.

  • Colorado

    Colorado · 92523

    Office

    $234.19

    Facility

    Unavailable

    $3.69 lower than Chico for the office setting.

  • Connecticut

    Connecticut · 92523

    Office

    $236.63

    Facility

    Unavailable

    $1.25 lower than Chico for the office setting.

  • Delaware

    Delaware · 92523

    Office

    $225.89

    Facility

    Unavailable

    $11.99 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 92523

    Office

    $228.00

    Facility

    Unavailable

    $9.88 lower than Chico for the office setting.

  • Rest Of Florida

    Florida · 92523

    Office

    $222.32

    Facility

    Unavailable

    $15.56 lower than Chico for the office setting.

  • Atlanta

    Georgia · 92523

    Office

    $228.48

    Facility

    Unavailable

    $9.40 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 92523

    Office

    $215.95

    Facility

    Unavailable

    $21.93 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 92523

    Office

    $239.72

    Facility

    Unavailable

    $1.84 higher than Chico for the office setting.

  • Iowa

    Iowa · 92523

    Office

    $217.94

    Facility

    Unavailable

    $19.94 lower than Chico for the office setting.

  • Idaho

    Idaho · 92523

    Office

    $218.45

    Facility

    Unavailable

    $19.43 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 92523

    Office

    $218.97

    Facility

    Unavailable

    $18.91 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 92523

    Office

    $218.13

    Facility

    Unavailable

    $19.75 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 92523

    Office

    $230.26

    Facility

    Unavailable

    $7.62 lower than Chico for the office setting.

  • Indiana

    Indiana · 92523

    Office

    $219.14

    Facility

    Unavailable

    $18.74 lower than Chico for the office setting.

  • Kansas

    Kansas · 92523

    Office

    $216.90

    Facility

    Unavailable

    $20.98 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 92523

    Office

    $215.57

    Facility

    Unavailable

    $22.31 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 92523

    Office

    $220.73

    Facility

    Unavailable

    $17.15 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 92523

    Office

    $215.19

    Facility

    Unavailable

    $22.69 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 92523

    Office

    $250.67

    Facility

    Unavailable

    $12.79 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 92523

    Office

    $233.63

    Facility

    Unavailable

    $4.25 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 92523

    Office

    $235.73

    Facility

    Unavailable

    $2.15 lower than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 92523

    Office

    $228.89

    Facility

    Unavailable

    $8.99 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 92523

    Office

    $218.50

    Facility

    Unavailable

    $19.38 lower than Chico for the office setting.

  • Southern Maine

    Maine · 92523

    Office

    $225.45

    Facility

    Unavailable

    $12.43 lower than Chico for the office setting.

  • Detroit

    Michigan · 92523

    Office

    $223.26

    Facility

    Unavailable

    $14.62 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 92523

    Office

    $217.99

    Facility

    Unavailable

    $19.89 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 92523

    Office

    $229.06

    Facility

    Unavailable

    $8.82 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 92523

    Office

    $220.48

    Facility

    Unavailable

    $17.40 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 92523

    Office

    $221.76

    Facility

    Unavailable

    $16.12 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 92523

    Office

    $212.94

    Facility

    Unavailable

    $24.94 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 92523

    Office

    $212.77

    Facility

    Unavailable

    $25.11 lower than Chico for the office setting.

  • Montana**

    Montana · 92523

    Office

    $226.46

    Facility

    Unavailable

    $11.42 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 92523

    Office

    $219.78

    Facility

    Unavailable

    $18.10 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 92523

    Office

    $226.26

    Facility

    Unavailable

    $11.62 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 92523

    Office

    $218.71

    Facility

    Unavailable

    $19.17 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 92523

    Office

    $230.43

    Facility

    Unavailable

    $7.45 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 92523

    Office

    $250.22

    Facility

    Unavailable

    $12.34 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 92523

    Office

    $240.62

    Facility

    Unavailable

    $2.74 higher than Chico for the office setting.

  • New Mexico

    New Mexico · 92523

    Office

    $218.40

    Facility

    Unavailable

    $19.48 lower than Chico for the office setting.

  • Nevada**

    Nevada · 92523

    Office

    $226.50

    Facility

    Unavailable

    $11.38 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 92523

    Office

    $253.45

    Facility

    Unavailable

    $15.57 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 92523

    Office

    $241.60

    Facility

    Unavailable

    $3.72 higher than Chico for the office setting.

  • Queens

    New York · 92523

    Office

    $252.63

    Facility

    Unavailable

    $14.75 higher than Chico for the office setting.

  • Rest Of New York

    New York · 92523

    Office

    $221.47

    Facility

    Unavailable

    $16.41 lower than Chico for the office setting.

  • Ohio

    Ohio · 92523

    Office

    $217.95

    Facility

    Unavailable

    $19.93 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 92523

    Office

    $215.91

    Facility

    Unavailable

    $21.97 lower than Chico for the office setting.

  • Portland

    Oregon · 92523

    Office

    $239.29

    Facility

    Unavailable

    $1.41 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 92523

    Office

    $225.97

    Facility

    Unavailable

    $11.91 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 92523

    Office

    $232.84

    Facility

    Unavailable

    $5.04 lower than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 92523

    Office

    $218.41

    Facility

    Unavailable

    $19.47 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 92523

    Office

    $227.53

    Facility

    Unavailable

    $10.35 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 92523

    Office

    $232.09

    Facility

    Unavailable

    $5.79 lower than Chico for the office setting.

  • South Carolina

    South Carolina · 92523

    Office

    $218.97

    Facility

    Unavailable

    $18.91 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 92523

    Office

    $226.24

    Facility

    Unavailable

    $11.64 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 92523

    Office

    $217.40

    Facility

    Unavailable

    $20.48 lower than Chico for the office setting.

  • Austin

    Texas · 92523

    Office

    $232.35

    Facility

    Unavailable

    $5.53 lower than Chico for the office setting.

  • Beaumont

    Texas · 92523

    Office

    $217.63

    Facility

    Unavailable

    $20.25 lower than Chico for the office setting.

  • Brazoria

    Texas · 92523

    Office

    $226.53

    Facility

    Unavailable

    $11.35 lower than Chico for the office setting.

  • Dallas

    Texas · 92523

    Office

    $227.17

    Facility

    Unavailable

    $10.71 lower than Chico for the office setting.

  • Fort Worth

    Texas · 92523

    Office

    $226.20

    Facility

    Unavailable

    $11.68 lower than Chico for the office setting.

  • Galveston

    Texas · 92523

    Office

    $226.74

    Facility

    Unavailable

    $11.14 lower than Chico for the office setting.

  • Houston

    Texas · 92523

    Office

    $226.92

    Facility

    Unavailable

    $10.96 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · 92523

    Office

    $221.43

    Facility

    Unavailable

    $16.45 lower than Chico for the office setting.

  • Utah

    Utah · 92523

    Office

    $220.55

    Facility

    Unavailable

    $17.33 lower than Chico for the office setting.

  • Virginia

    Virginia · 92523

    Office

    $224.70

    Facility

    Unavailable

    $13.18 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 92523

    Office

    $227.53

    Facility

    Unavailable

    $10.35 lower than Chico for the office setting.

  • Vermont

    Vermont · 92523

    Office

    $225.31

    Facility

    Unavailable

    $12.57 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 92523

    Office

    $233.23

    Facility

    Unavailable

    $4.65 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 92523

    Office

    $255.03

    Facility

    Unavailable

    $17.15 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 92523

    Office

    $222.12

    Facility

    Unavailable

    $15.76 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 92523

    Office

    $213.78

    Facility

    Unavailable

    $24.10 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 92523

    Office

    $226.37

    Facility

    Unavailable

    $11.51 lower than Chico for the office setting.

See how rates vary across the country

92523 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$212.50

$296.80

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$296.801
AL$214.081
AR$212.501
AZ$223.381
CA$237.88–$283.6729
CO$234.191
CT$236.631
DC$250.841
DE$225.891
FL$222.32–$230.983
GA$215.95–$228.482
GU$239.721
HI$239.721
IA$217.941
ID$218.451
IL$218.13–$230.264
IN$219.141
KS$216.901
KY$215.571
LA$215.19–$220.732
MA$233.63–$250.672
MD$228.89–$250.843
ME$218.50–$225.452
MI$217.99–$223.262
MN$229.061
MO$212.94–$221.763
MS$212.771
MT$226.461
NC$219.781
ND$226.261
NE$218.711
NH$230.431
NJ$240.62–$250.222
NM$218.401
NV$226.501
NY$221.47–$253.455
OH$217.951
OK$215.911
OR$225.97–$239.292
PA$218.41–$232.842
PR$227.531
RI$232.091
SC$218.971
SD$226.241
TN$217.401
TX$217.63–$232.358
UT$220.551
VA$224.70–$250.842
VI$227.531
VT$225.311
WA$233.23–$255.032
WI$222.121
WV$213.781
WY$226.371

Explore 92523 on the national rate map →

Where does this rate apply?

Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 92523 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$261.67

$237.88 × 110% = $261.67

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 92523 in Chico.

PPRRVU2026_Oct_nonQPP.csv

11,790

Code
92523
Physician work
3.84
Practice expense
2.93
Malpractice
0.01

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 92523 in Chico
ComponentRVULocality factorAdjusted
Physician work3.84× 1.0173.9053
Practice expense2.93× 1.0963.2113
Malpractice0.01× 0.5360.0054
Total RVUs7.1219
Conversion factor× 33.4009

Office / nonfacility rate, Chico$237.88

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 92523 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.841.017
Practice expense2.931.096
Malpractice0.010.536

(3.84 × 1.017 + 2.93 × 1.096 + 0.01 × 0.536) × $33.4009 = $237.88

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

92523 · Office / nonfacility

$237.88

Effective 2026-10-01

The base rate is $5.12 higher than on 2025-10-01, moving from $232.76 to $237.88 (2.2%).

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

    $232.76changed to$237.88

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 2.97 changed to 2.93
    • Malpractice RVU 0.10 changed to 0.01
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $232.76

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$237.88Not available in this settingRVU26D
2026-07-01$237.88Not available in this settingRVU26C
2026-04-01$237.88Not available in this settingRVU26B
2026-01-01$237.88Not available in this settingRVU26A
2025-10-01$232.76Not available in this settingRVU25D
2025-07-01$232.76Not available in this settingRVU25C
2025-04-01$232.76Not available in this settingRVU25B
2025-01-01$232.76Not available in this settingRVU25A

92523 billing questions

When should 92523 be chosen instead of 92522?

Use 92523 when the evaluation includes speech sound production and receptive and expressive language. Use 92522 when the assessment is limited to speech sound production.

Can 92522 also be reported for the speech portion of the same evaluation?

Do not separately report 92522 for the speech-production portion included in the combined 92523 evaluation.

Does modifier 26 apply?

No. CMS identifies 92523 as a therapy service for which the professional component modifier does not apply.

Does CMS reduce payment when other therapy services are billed the same day?

Yes. CMS reduces practice expense for the second and later therapy units furnished on the same day.

How does 92523 differ from a fluency evaluation?

92523 assesses speech sound production and language comprehension and expression. Use 92521 when the evaluation is focused on speech fluency.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 92523PPRRVU2026_Oct_nonQPP.csv, line 11,790 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet