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CMS RVU26D · Effective 2026-10-01

92597 in Modesto

Office / nonfacility

$74.35

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 92597: Voice prosthesis use evaluation

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

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.

CMS billing rules for 92597

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 RVU1.23 · 58%
  • Practice expense (office) RVU0.88 · 41%
  • Malpractice RVU0.02 · 1%

1.9K

Medicare services in 2024 · #2480 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.

92597 compared with similar codes

Office rates for Modesto, from the same CMS release.

92507

Speech therapy

Individual session

$79.85

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.

92607

AAC evaluation

Prescription assessment, first hour

$128.91

92607 is an evaluation for a speech-generating AAC device. 92597 is for a voice prosthetic device used to support oral speech.

92609

Speech device therapy

Programming and use training

$108.24

92609 covers therapy for using a speech-generating AAC device; 92597 covers evaluation or fitting of a voice prosthetic device.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 92597 is $74.49—$0.14 higher than the $74.35 rate in Modesto. Both use the same code, release and participation basis.

92597 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $74.35

  2. Bakersfield

    $74.49

    $0.14 higher than Modesto

  3. Chico

    $74.35

    The same base rate than Modesto

  4. El Centro

    $74.36

    $0.01 higher than Modesto

  5. Fresno

    $74.35

    The same base rate than Modesto

  6. Hanford-Corcoran

    $74.35

    The same base rate than Modesto

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

    $77.98

    $3.63 higher than Modesto

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, 92597 ranges from $66.68 in Arkansas to $93.30 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

  • Madera

    California · 92597

    Office

    $74.35

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Merced

    California · 92597

    Office

    $74.35

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Napa

    California · 92597

    Office

    $82.75

    Facility

    Unavailable

    $8.40 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 92597

    Office

    $77.39

    Facility

    Unavailable

    $3.04 higher than Modesto for the office setting.

  • Redding

    California · 92597

    Office

    $74.35

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 92597

    Office

    $74.35

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 92597

    Office

    $74.61

    Facility

    Unavailable

    $0.26 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 92597

    Office

    $77.10

    Facility

    Unavailable

    $2.75 higher than Modesto for the office setting.

  • Salinas

    California · 92597

    Office

    $76.78

    Facility

    Unavailable

    $2.43 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 92597

    Office

    $77.83

    Facility

    Unavailable

    $3.48 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 92597

    Office

    $86.74

    Facility

    Unavailable

    $12.39 higher than Modesto for the office setting.

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

    California · 92597

    Office

    $86.71

    Facility

    Unavailable

    $12.36 higher than Modesto for the office setting.

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

    California · 92597

    Office

    $88.34

    Facility

    Unavailable

    $13.99 higher than Modesto for the office setting.

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

    California · 92597

    Office

    $88.25

    Facility

    Unavailable

    $13.90 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 92597

    Office

    $75.62

    Facility

    Unavailable

    $1.27 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 92597

    Office

    $78.02

    Facility

    Unavailable

    $3.67 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 92597

    Office

    $76.86

    Facility

    Unavailable

    $2.51 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 92597

    Office

    $78.77

    Facility

    Unavailable

    $4.42 higher than Modesto for the office setting.

  • Stockton

    California · 92597

    Office

    $74.35

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 92597

    Office

    $82.72

    Facility

    Unavailable

    $8.37 higher than Modesto for the office setting.

  • Visalia

    California · 92597

    Office

    $74.35

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 92597

    Office

    $74.35

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 92597

    Office

    $78.67

    Facility

    Unavailable

    $4.32 higher than Modesto for the office setting.

  • Miami

    Florida · 92597

    Office

    $73.37

    Facility

    Unavailable

    $0.98 lower than Modesto for the office setting.

  • Chicago

    Illinois · 92597

    Office

    $72.44

    Facility

    Unavailable

    $1.91 lower than Modesto for the office setting.

  • Manhattan

    New York · 92597

    Office

    $78.93

    Facility

    Unavailable

    $4.58 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 92597

    Office

    $93.30

    Facility

    Unavailable

    $18.95 higher than Modesto for the office setting.

  • Alabama

    Alabama · 92597

    Office

    $67.18

    Facility

    Unavailable

    $7.17 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 92597

    Office

    $66.68

    Facility

    Unavailable

    $7.67 lower than Modesto for the office setting.

  • Arizona

    Arizona · 92597

    Office

    $70.14

    Facility

    Unavailable

    $4.21 lower than Modesto for the office setting.

  • Colorado

    Colorado · 92597

    Office

    $73.37

    Facility

    Unavailable

    $0.98 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 92597

    Office

    $74.37

    Facility

    Unavailable

    $0.02 higher than Modesto for the office setting.

  • Delaware

    Delaware · 92597

    Office

    $70.93

    Facility

    Unavailable

    $3.42 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 92597

    Office

    $72.07

    Facility

    Unavailable

    $2.28 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 92597

    Office

    $70.19

    Facility

    Unavailable

    $4.16 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 92597

    Office

    $71.87

    Facility

    Unavailable

    $2.48 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 92597

    Office

    $68.10

    Facility

    Unavailable

    $6.25 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 92597

    Office

    $74.89

    Facility

    Unavailable

    $0.54 higher than Modesto for the office setting.

  • Iowa

    Iowa · 92597

    Office

    $68.24

    Facility

    Unavailable

    $6.11 lower than Modesto for the office setting.

  • Idaho

    Idaho · 92597

    Office

    $68.44

    Facility

    Unavailable

    $5.91 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 92597

    Office

    $69.47

    Facility

    Unavailable

    $4.88 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 92597

    Office

    $68.96

    Facility

    Unavailable

    $5.39 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 92597

    Office

    $72.74

    Facility

    Unavailable

    $1.61 lower than Modesto for the office setting.

  • Indiana

    Indiana · 92597

    Office

    $68.65

    Facility

    Unavailable

    $5.70 lower than Modesto for the office setting.

  • Kansas

    Kansas · 92597

    Office

    $67.99

    Facility

    Unavailable

    $6.36 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 92597

    Office

    $67.82

    Facility

    Unavailable

    $6.53 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 92597

    Office

    $69.50

    Facility

    Unavailable

    $4.85 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 92597

    Office

    $67.74

    Facility

    Unavailable

    $6.61 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 92597

    Office

    $78.46

    Facility

    Unavailable

    $4.11 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 92597

    Office

    $73.22

    Facility

    Unavailable

    $1.13 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 92597

    Office

    $74.11

    Facility

    Unavailable

    $0.24 lower than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 92597

    Office

    $71.85

    Facility

    Unavailable

    $2.50 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 92597

    Office

    $68.54

    Facility

    Unavailable

    $5.81 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 92597

    Office

    $70.63

    Facility

    Unavailable

    $3.72 lower than Modesto for the office setting.

  • Detroit

    Michigan · 92597

    Office

    $70.57

    Facility

    Unavailable

    $3.78 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 92597

    Office

    $68.67

    Facility

    Unavailable

    $5.68 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 92597

    Office

    $71.53

    Facility

    Unavailable

    $2.82 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 92597

    Office

    $69.34

    Facility

    Unavailable

    $5.01 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 92597

    Office

    $69.73

    Facility

    Unavailable

    $4.62 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 92597

    Office

    $67.07

    Facility

    Unavailable

    $7.28 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 92597

    Office

    $66.88

    Facility

    Unavailable

    $7.47 lower than Modesto for the office setting.

  • Montana**

    Montana · 92597

    Office

    $71.14

    Facility

    Unavailable

    $3.21 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 92597

    Office

    $68.93

    Facility

    Unavailable

    $5.42 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 92597

    Office

    $70.75

    Facility

    Unavailable

    $3.60 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 92597

    Office

    $68.47

    Facility

    Unavailable

    $5.88 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 92597

    Office

    $72.27

    Facility

    Unavailable

    $2.08 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 92597

    Office

    $78.48

    Facility

    Unavailable

    $4.13 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 92597

    Office

    $75.56

    Facility

    Unavailable

    $1.21 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 92597

    Office

    $68.84

    Facility

    Unavailable

    $5.51 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 92597

    Office

    $71.06

    Facility

    Unavailable

    $3.29 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 92597

    Office

    $79.90

    Facility

    Unavailable

    $5.55 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 92597

    Office

    $75.93

    Facility

    Unavailable

    $1.58 higher than Modesto for the office setting.

  • Queens

    New York · 92597

    Office

    $79.42

    Facility

    Unavailable

    $5.07 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 92597

    Office

    $69.48

    Facility

    Unavailable

    $4.87 lower than Modesto for the office setting.

  • Ohio

    Ohio · 92597

    Office

    $68.59

    Facility

    Unavailable

    $5.76 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 92597

    Office

    $67.85

    Facility

    Unavailable

    $6.50 lower than Modesto for the office setting.

  • Portland

    Oregon · 92597

    Office

    $74.89

    Facility

    Unavailable

    $0.54 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 92597

    Office

    $70.83

    Facility

    Unavailable

    $3.52 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 92597

    Office

    $73.22

    Facility

    Unavailable

    $1.13 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 92597

    Office

    $68.70

    Facility

    Unavailable

    $5.65 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 92597

    Office

    $71.46

    Facility

    Unavailable

    $2.89 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 92597

    Office

    $72.82

    Facility

    Unavailable

    $1.53 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 92597

    Office

    $68.81

    Facility

    Unavailable

    $5.54 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 92597

    Office

    $70.70

    Facility

    Unavailable

    $3.65 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 92597

    Office

    $68.16

    Facility

    Unavailable

    $6.19 lower than Modesto for the office setting.

  • Austin

    Texas · 92597

    Office

    $72.85

    Facility

    Unavailable

    $1.50 lower than Modesto for the office setting.

  • Beaumont

    Texas · 92597

    Office

    $68.45

    Facility

    Unavailable

    $5.90 lower than Modesto for the office setting.

  • Brazoria

    Texas · 92597

    Office

    $71.06

    Facility

    Unavailable

    $3.29 lower than Modesto for the office setting.

  • Dallas

    Texas · 92597

    Office

    $71.30

    Facility

    Unavailable

    $3.05 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 92597

    Office

    $71.02

    Facility

    Unavailable

    $3.33 lower than Modesto for the office setting.

  • Galveston

    Texas · 92597

    Office

    $71.15

    Facility

    Unavailable

    $3.20 lower than Modesto for the office setting.

  • Houston

    Texas · 92597

    Office

    $71.52

    Facility

    Unavailable

    $2.83 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 92597

    Office

    $69.58

    Facility

    Unavailable

    $4.77 lower than Modesto for the office setting.

  • Utah

    Utah · 92597

    Office

    $69.31

    Facility

    Unavailable

    $5.04 lower than Modesto for the office setting.

  • Virginia

    Virginia · 92597

    Office

    $70.45

    Facility

    Unavailable

    $3.90 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 92597

    Office

    $71.46

    Facility

    Unavailable

    $2.89 lower than Modesto for the office setting.

  • Vermont

    Vermont · 92597

    Office

    $70.52

    Facility

    Unavailable

    $3.83 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 92597

    Office

    $73.08

    Facility

    Unavailable

    $1.27 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 92597

    Office

    $79.75

    Facility

    Unavailable

    $5.40 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 92597

    Office

    $69.45

    Facility

    Unavailable

    $4.90 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 92597

    Office

    $67.58

    Facility

    Unavailable

    $6.77 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 92597

    Office

    $70.97

    Facility

    Unavailable

    $3.38 lower than Modesto for the office setting.

See how rates vary across the country

92597 · 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.

$66.68

$93.30

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

View all state and territory rates as a table
State / territoryRate 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

Explore 92597 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 92597 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$81.78

$74.35 × 110% = $81.78

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 92597 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

11,858

Code
92597
Physician work
1.23
Practice expense
0.88
Malpractice
0.02

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 92597 in Modesto
ComponentRVULocality factorAdjusted
Physician work1.23× 1.0171.2509
Practice expense0.88× 1.0960.9645
Malpractice0.02× 0.5360.0107
Total RVUs2.2261
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$74.35

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

Open 92597 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.231.017
Practice expense0.881.096
Malpractice0.020.536

(1.23 × 1.017 + 0.88 × 1.096 + 0.02 × 0.536) × $33.4009 = $74.35

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

92597 · Office / nonfacility

$74.35

Effective 2026-10-01

The base rate is $0.48 higher than on 2025-10-01, moving from $73.87 to $74.35 (0.6%).

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

    $73.87changed to$74.35

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.26 changed to 1.23
    • Practice expense RVU 0.90 changed to 0.88
    • Malpractice RVU 0.04 changed to 0.02
    • 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: $73.87

    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$74.35Not available in this settingRVU26D
2026-07-01$74.35Not available in this settingRVU26C
2026-04-01$74.35Not available in this settingRVU26B
2026-01-01$74.35Not available in this settingRVU26A
2025-10-01$73.87Not available in this settingRVU25D
2025-07-01$73.87Not available in this settingRVU25C
2025-04-01$73.87Not available in this settingRVU25B
2025-01-01$73.87Not available in this settingRVU25A

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 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 92597PPRRVU2026_Oct_nonQPP.csv, line 11,858 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet