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CMS RVU26D · Effective 2026-10-01

92608 in Modesto

Office / nonfacility

$50.50

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 92608: Additional speech device prescription evaluation

Reports additional evaluation time beyond the initial hour spent assessing a patient’s needs and suitability for a speech-generating communication device.

A speech-language pathologist uses this service when evaluating a patient for a speech-generating device, such as an augmentative and alternative communication system. The assessment may address communication needs, the patient’s ability to access and operate a device, and which device features or options may support communication. It is used for the additional evaluation time after the initial hour, not for ongoing training or treatment in using a device.

Report 92608 with 92607, the primary code for the initial hour of speech-generating device evaluation. Document the assessment, the clinical basis for device recommendations, and the time supporting each additional 30-minute increment. CMS treats 92608 as an add-on code and pays it within the primary procedure’s global period. The professional component modifier does not apply to this therapy service.

CMS billing rules for 92608

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Professional and technical components
Therapy service: the professional component modifier does not apply.

Where the value comes from

  • Work RVU0.70 · 49%
  • Practice expense (office) RVU0.73 · 51%
  • Malpractice RVU0.00 · 0%

207

Medicare services in 2024 · #4296 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.

92608 compared with similar codes

Office rates for Modesto, from the same CMS release.

92607

AAC evaluation

Prescription assessment, first hour

$128.91

Use 92607 for the initial hour of speech-generating device evaluation. Use 92608 only for additional evaluation time and report it with 92607.

92618

Ex for nonspeech dev rx add

No office rate

92618 represents additional evaluation time for a nonspeech-generating device. 92608 is for additional evaluation time when the device being considered generates speech.

92609

Speech device therapy

Programming and use training

$108.24

92609 describes services involving use of a speech-generating device. 92608 is for additional time evaluating the patient for a device prescription.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 92608 is $50.55—$0.05 higher than the $50.50 rate in Modesto. Both use the same code, release and participation basis.

92608 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $50.50

  2. Bakersfield

    $50.55

    $0.05 higher than Modesto

  3. Chico

    $50.50

    The same base rate than Modesto

  4. El Centro

    $50.50

    The same base rate than Modesto

  5. Fresno

    $50.50

    The same base rate than Modesto

  6. Hanford-Corcoran

    $50.50

    The same base rate than Modesto

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

    $53.18

    $2.68 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, 92608 ranges from $44.33 in Arkansas to $61.11 in San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty). 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 · 92608

    Office

    $50.50

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Merced

    California · 92608

    Office

    $50.50

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Napa

    California · 92608

    Office

    $56.99

    Facility

    Unavailable

    $6.49 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 92608

    Office

    $52.86

    Facility

    Unavailable

    $2.36 higher than Modesto for the office setting.

  • Redding

    California · 92608

    Office

    $50.50

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 92608

    Office

    $50.50

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 92608

    Office

    $50.52

    Facility

    Unavailable

    $0.02 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 92608

    Office

    $52.58

    Facility

    Unavailable

    $2.08 higher than Modesto for the office setting.

  • Salinas

    California · 92608

    Office

    $52.36

    Facility

    Unavailable

    $1.86 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 92608

    Office

    $53.24

    Facility

    Unavailable

    $2.74 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 92608

    Office

    $59.98

    Facility

    Unavailable

    $9.48 higher than Modesto for the office setting.

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

    California · 92608

    Office

    $59.98

    Facility

    Unavailable

    $9.48 higher than Modesto for the office setting.

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

    California · 92608

    Office

    $61.11

    Facility

    Unavailable

    $10.61 higher than Modesto for the office setting.

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

    California · 92608

    Office

    $61.11

    Facility

    Unavailable

    $10.61 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 92608

    Office

    $51.55

    Facility

    Unavailable

    $1.05 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 92608

    Office

    $53.50

    Facility

    Unavailable

    $3.00 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 92608

    Office

    $52.47

    Facility

    Unavailable

    $1.97 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 92608

    Office

    $54.02

    Facility

    Unavailable

    $3.52 higher than Modesto for the office setting.

  • Stockton

    California · 92608

    Office

    $50.50

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 92608

    Office

    $56.99

    Facility

    Unavailable

    $6.49 higher than Modesto for the office setting.

  • Visalia

    California · 92608

    Office

    $50.50

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 92608

    Office

    $50.50

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 92608

    Office

    $53.37

    Facility

    Unavailable

    $2.87 higher than Modesto for the office setting.

  • Miami

    Florida · 92608

    Office

    $48.76

    Facility

    Unavailable

    $1.74 lower than Modesto for the office setting.

  • Chicago

    Illinois · 92608

    Office

    $48.05

    Facility

    Unavailable

    $2.45 lower than Modesto for the office setting.

  • Manhattan

    New York · 92608

    Office

    $53.21

    Facility

    Unavailable

    $2.71 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 92608

    Office

    $61.04

    Facility

    Unavailable

    $10.54 higher than Modesto for the office setting.

  • Alabama

    Alabama · 92608

    Office

    $44.72

    Facility

    Unavailable

    $5.78 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 92608

    Office

    $44.33

    Facility

    Unavailable

    $6.17 lower than Modesto for the office setting.

  • Arizona

    Arizona · 92608

    Office

    $47.01

    Facility

    Unavailable

    $3.49 lower than Modesto for the office setting.

  • Colorado

    Colorado · 92608

    Office

    $49.60

    Facility

    Unavailable

    $0.90 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 92608

    Office

    $50.11

    Facility

    Unavailable

    $0.39 lower than Modesto for the office setting.

  • Delaware

    Delaware · 92608

    Office

    $47.59

    Facility

    Unavailable

    $2.91 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 92608

    Office

    $48.08

    Facility

    Unavailable

    $2.42 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 92608

    Office

    $46.69

    Facility

    Unavailable

    $3.81 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 92608

    Office

    $48.22

    Facility

    Unavailable

    $2.28 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 92608

    Office

    $45.13

    Facility

    Unavailable

    $5.37 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 92608

    Office

    $51.10

    Facility

    Unavailable

    $0.60 higher than Modesto for the office setting.

  • Iowa

    Iowa · 92608

    Office

    $45.69

    Facility

    Unavailable

    $4.81 lower than Modesto for the office setting.

  • Idaho

    Idaho · 92608

    Office

    $45.81

    Facility

    Unavailable

    $4.69 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 92608

    Office

    $45.81

    Facility

    Unavailable

    $4.69 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 92608

    Office

    $45.64

    Facility

    Unavailable

    $4.86 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 92608

    Office

    $48.59

    Facility

    Unavailable

    $1.91 lower than Modesto for the office setting.

  • Indiana

    Indiana · 92608

    Office

    $45.98

    Facility

    Unavailable

    $4.52 lower than Modesto for the office setting.

  • Kansas

    Kansas · 92608

    Office

    $45.42

    Facility

    Unavailable

    $5.08 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 92608

    Office

    $45.06

    Facility

    Unavailable

    $5.44 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 92608

    Office

    $46.32

    Facility

    Unavailable

    $4.18 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 92608

    Office

    $44.96

    Facility

    Unavailable

    $5.54 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 92608

    Office

    $53.45

    Facility

    Unavailable

    $2.95 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 92608

    Office

    $49.43

    Facility

    Unavailable

    $1.07 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 92608

    Office

    $49.92

    Facility

    Unavailable

    $0.58 lower than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 92608

    Office

    $48.29

    Facility

    Unavailable

    $2.21 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 92608

    Office

    $45.81

    Facility

    Unavailable

    $4.69 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 92608

    Office

    $47.54

    Facility

    Unavailable

    $2.96 lower than Modesto for the office setting.

  • Detroit

    Michigan · 92608

    Office

    $46.91

    Facility

    Unavailable

    $3.59 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 92608

    Office

    $45.64

    Facility

    Unavailable

    $4.86 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 92608

    Office

    $48.47

    Facility

    Unavailable

    $2.03 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 92608

    Office

    $46.28

    Facility

    Unavailable

    $4.22 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 92608

    Office

    $46.59

    Facility

    Unavailable

    $3.91 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 92608

    Office

    $44.40

    Facility

    Unavailable

    $6.10 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 92608

    Office

    $44.37

    Facility

    Unavailable

    $6.13 lower than Modesto for the office setting.

  • Montana**

    Montana · 92608

    Office

    $47.76

    Facility

    Unavailable

    $2.74 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 92608

    Office

    $46.13

    Facility

    Unavailable

    $4.37 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 92608

    Office

    $47.76

    Facility

    Unavailable

    $2.74 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 92608

    Office

    $45.89

    Facility

    Unavailable

    $4.61 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 92608

    Office

    $48.76

    Facility

    Unavailable

    $1.74 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 92608

    Office

    $53.14

    Facility

    Unavailable

    $2.64 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 92608

    Office

    $50.94

    Facility

    Unavailable

    $0.44 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 92608

    Office

    $45.74

    Facility

    Unavailable

    $4.76 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 92608

    Office

    $47.79

    Facility

    Unavailable

    $2.71 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 92608

    Office

    $53.87

    Facility

    Unavailable

    $3.37 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 92608

    Office

    $51.13

    Facility

    Unavailable

    $0.63 higher than Modesto for the office setting.

  • Queens

    New York · 92608

    Office

    $53.70

    Facility

    Unavailable

    $3.20 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 92608

    Office

    $46.54

    Facility

    Unavailable

    $3.96 lower than Modesto for the office setting.

  • Ohio

    Ohio · 92608

    Office

    $45.64

    Facility

    Unavailable

    $4.86 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 92608

    Office

    $45.15

    Facility

    Unavailable

    $5.35 lower than Modesto for the office setting.

  • Portland

    Oregon · 92608

    Office

    $50.84

    Facility

    Unavailable

    $0.34 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 92608

    Office

    $47.67

    Facility

    Unavailable

    $2.83 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 92608

    Office

    $49.18

    Facility

    Unavailable

    $1.32 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 92608

    Office

    $45.76

    Facility

    Unavailable

    $4.74 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 92608

    Office

    $48.03

    Facility

    Unavailable

    $2.47 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 92608

    Office

    $49.01

    Facility

    Unavailable

    $1.49 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 92608

    Office

    $45.91

    Facility

    Unavailable

    $4.59 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 92608

    Office

    $47.76

    Facility

    Unavailable

    $2.74 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 92608

    Office

    $45.54

    Facility

    Unavailable

    $4.96 lower than Modesto for the office setting.

  • Austin

    Texas · 92608

    Office

    $49.22

    Facility

    Unavailable

    $1.28 lower than Modesto for the office setting.

  • Beaumont

    Texas · 92608

    Office

    $45.57

    Facility

    Unavailable

    $4.93 lower than Modesto for the office setting.

  • Brazoria

    Texas · 92608

    Office

    $47.73

    Facility

    Unavailable

    $2.77 lower than Modesto for the office setting.

  • Dallas

    Texas · 92608

    Office

    $47.88

    Facility

    Unavailable

    $2.62 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 92608

    Office

    $47.63

    Facility

    Unavailable

    $2.87 lower than Modesto for the office setting.

  • Galveston

    Texas · 92608

    Office

    $47.78

    Facility

    Unavailable

    $2.72 lower than Modesto for the office setting.

  • Houston

    Texas · 92608

    Office

    $47.78

    Facility

    Unavailable

    $2.72 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 92608

    Office

    $46.52

    Facility

    Unavailable

    $3.98 lower than Modesto for the office setting.

  • Utah

    Utah · 92608

    Office

    $46.30

    Facility

    Unavailable

    $4.20 lower than Modesto for the office setting.

  • Virginia

    Virginia · 92608

    Office

    $47.35

    Facility

    Unavailable

    $3.15 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 92608

    Office

    $48.03

    Facility

    Unavailable

    $2.47 lower than Modesto for the office setting.

  • Vermont

    Vermont · 92608

    Office

    $47.52

    Facility

    Unavailable

    $2.98 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 92608

    Office

    $49.36

    Facility

    Unavailable

    $1.14 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 92608

    Office

    $54.47

    Facility

    Unavailable

    $3.97 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 92608

    Office

    $46.74

    Facility

    Unavailable

    $3.76 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 92608

    Office

    $44.57

    Facility

    Unavailable

    $5.93 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 92608

    Office

    $47.76

    Facility

    Unavailable

    $2.74 lower than Modesto for the office setting.

See how rates vary across the country

92608 · 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.

$44.33

$61.04

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$61.041
AL$44.721
AR$44.331
AZ$47.011
CA$50.50–$61.1129
CO$49.601
CT$50.111
DC$53.371
DE$47.591
FL$46.69–$48.763
GA$45.13–$48.222
GU$51.101
HI$51.101
IA$45.691
ID$45.811
IL$45.64–$48.594
IN$45.981
KS$45.421
KY$45.061
LA$44.96–$46.322
MA$49.43–$53.452
MD$48.29–$53.373
ME$45.81–$47.542
MI$45.64–$46.912
MN$48.471
MO$44.40–$46.593
MS$44.371
MT$47.761
NC$46.131
ND$47.761
NE$45.891
NH$48.761
NJ$50.94–$53.142
NM$45.741
NV$47.791
NY$46.54–$53.875
OH$45.641
OK$45.151
OR$47.67–$50.842
PA$45.76–$49.182
PR$48.031
RI$49.011
SC$45.911
SD$47.761
TN$45.541
TX$45.57–$49.228
UT$46.301
VA$47.35–$53.372
VI$48.031
VT$47.521
WA$49.36–$54.472
WI$46.741
WV$44.571
WY$47.761

Explore 92608 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 92608 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$55.55

$50.50 × 110% = $55.55

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 92608 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

11,866

Code
92608
Physician work
0.70
Practice expense
0.73
Malpractice
0.00

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 92608 in Modesto
ComponentRVULocality factorAdjusted
Physician work0.70× 1.0170.7119
Practice expense0.73× 1.0960.8001
Malpractice0.00× 0.5360.0000
Total RVUs1.5120
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$50.50

Open 92608 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.71.017
Practice expense0.731.096
Malpractice00.536

(0.7 × 1.017 + 0.73 × 1.096 + 0 × 0.536) × $33.4009 = $50.50

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

92608 · Office / nonfacility

$50.50

Effective 2026-10-01

The base rate is $0.66 higher than on 2025-10-01, moving from $49.84 to $50.50 (1.3%).

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

    $49.84changed to$50.50

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.75 changed to 0.73
    • Malpractice RVU 0.02 changed to 0.00
    • 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: $49.84

    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$50.50Not available in this settingRVU26D
2026-07-01$50.50Not available in this settingRVU26C
2026-04-01$50.50Not available in this settingRVU26B
2026-01-01$50.50Not available in this settingRVU26A
2025-10-01$49.84Not available in this settingRVU25D
2025-07-01$49.84Not available in this settingRVU25C
2025-04-01$49.84Not available in this settingRVU25B
2025-01-01$49.84Not available in this settingRVU25A

92608 billing questions

When should 92608 be reported instead of 92607?

92607 covers the initial hour of a speech-generating device evaluation. Report 92608 for each additional 30 minutes of evaluation time, with 92607 as the primary code.

Can 92608 be billed by itself?

No. It is an add-on code and must be reported with 92607.

What documentation supports an additional unit?

Record the evaluation activities, findings relevant to the speech-generating device recommendation, and the time supporting each additional 30-minute increment.

Is modifier 26 appropriate for 92608?

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

How does 92608 differ from 92618?

92608 covers additional time evaluating a patient for a speech-generating device. 92618 is the corresponding additional-time code for evaluation of a nonspeech-generating device.

Does 92608 describe device-use training?

No. It covers additional evaluation time for a speech-generating device prescription; 92609 describes services for use of a speech-generating 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 92608PPRRVU2026_Oct_nonQPP.csv, line 11,866 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet