CPT code 92609: Speech device therapy2026 Medicare rate & RVUs in Alaska
Speech-language pathologists report this therapy for skilled training in using a speech-generating communication device, including device programming and modification.
Medicare pays $130.83 for 92609 in the office in Alaska (Alaska*). Which amount applies depends on the service address.
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 9 sections
What 92609 covers
A speech-language pathologist uses this service to help a person communicate with a speech-generating device, such as an augmentative and alternative communication system that produces spoken output. The work may include teaching the patient to operate the device, adapting its vocabulary or settings to support communication, and modifying programming as communication needs change. Services are typically furnished in outpatient therapy settings, including clinics and offices, and may involve caregiver instruction when it supports the patient’s device use.
Report 92609 for skilled therapeutic work with the speech-generating device, not for evaluating whether a device should be prescribed. The record should identify the device and describe the skilled training, programming, or modifications performed and their connection to the patient’s communication goals. The CMS therapy multiple procedure payment reduction decreases the practice expense portion for the second and later therapy units on the same day. The professional component modifier does not apply to this therapy service.
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.
92609 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | $130.83 | Unavailable |
How the 92609 rate is calculated
Each of 92609’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 · 92609
RVUs × geographic indexes × conversion factor
Work1.50
1.50 RVUs× 1.000 GPCI
Practice expense1.56
1.56 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
3.0700
Conversion factor
$33.4009
Medicare rate
$102.54
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 92609
The CMS indicators that decide how 92609 is paid alongside other services.
CMS payment indicators · 92609
Speech device therapy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 5 | Therapy reduction: practice expense of the second and later units is reduced. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 7 | Therapy service: the split doesn’t apply. |
What modifiers do to the payment
Modifier CQ · payment effect
With and without the modifier
92609 without CQ · national office
$102.54
Speech device therapy
92609-CQ · Allowed amount unchanged
$102.54
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.
92609 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 92607AAC evaluation
- Choose 92607 for evaluating the patient to support a speech-generating device prescription; choose 92609 for therapeutic use, programming, or modification.
- 92606Non-speech device service
- 92606 concerns therapeutic use of a non-speech-generating device. 92609 concerns a device that generates speech output.
- 92602Implant reprogramming
- 92602 is for reprogramming a cochlear implant for a child under age 7. 92609 is therapy involving a speech-generating communication device.
92609 billing questions
How does 92609 differ from 92607?
92607 is for evaluating a patient to support a speech-generating device prescription. Use 92609 for therapeutic work on using, programming, or modifying the device.
Can evaluation and device therapy be reported together?
They describe different services. Report both only when the record supports a distinct prescription evaluation and therapeutic device service.
Does 92609 cover programming changes?
Yes. Programming and modification can be part of the skilled therapeutic service when performed to support the patient’s use of the speech-generating device.
Should a professional component modifier be appended?
No. CMS identifies 92609 as a therapy service for which the professional component modifier does not apply.
How does the same-day therapy reduction affect this code?
For the second and later therapy units on the same day, CMS reduces the practice expense portion of payment.
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
Fee sheets
Put 92609 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →