Billing code 92520: Laryngeal testingMedicare rate & RVUs in Alaska

Reports objective testing of laryngeal voice function, such as aerodynamic and acoustic measures, during evaluation of dysphonia or other voice concerns.

CMS RVU26DEffective Oct 1, 20261 payment locality8K Medicare services in 2024

Medicare pays $107.02 for 92520 in the office in Alaska (Alaska*). Which amount applies depends on the service address.

$107.02Office (non-facility)
$44.77Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 92520 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Alaska
  2. What 92520 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

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.

92520 in Alaska*

92520 office and facility rates by payment locality
Payment localityOfficeFacility
Alaska*$107.02$44.77

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

Work0.73

0.73 RVUs× 1.000 GPCI

Practice expense1.97

1.97 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

2.7200

Conversion factor

$33.4009

Medicare rate

$90.85

Every GPCI starts 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).

POS 11 · non-facility rate · national

$90.85

Non-facility (office)
$90.85
Facility
$32.40

Higher because the practice carries its own overhead.

92520 compared with similar codes

Compare codes · National

4 codes, side by side

  • 92520

    Laryngeal testing0.73 wRVU

    $90.85

  • 92524

    Voice evaluation1.92 wRVU

    $109.55+$18.70

  • 31579

    Laryngoscopy1.83 wRVU

    $195.06+$104.21

  • 92507

    Speech therapy1.3 wRVU

    $76.15−$14.70

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
RVUs for 92520PPRRVU2026_Oct_nonQPP.csv, line 11,787 (RVU26D)
Geographic factors for Alaska*GPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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