92605
No office rateEx for nonspeech device rx
Choose 92607 when the evaluation concerns a speech-generating device; 92605 concerns a nonspeech-generating communication device.
On this page
CMS RVU26D · Effective 2026-10-01
92607 AAC evaluation Medicare reimbursement rates in California
A speech-language pathologist evaluates a patient’s communication needs and access options to recommend a speech-generating device during the first hour of assessment. Compare 92607 office and facility rates across CMS payment localities in California.
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.
What does Medicare pay for 92607 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
$128.91–$155.46
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $26.55 per service.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 92607 pays more and less in California
29 payment localities
$128.91 to $155.46
Speech-language pathology
About 92607: Speech-generating device evaluation
A speech-language pathologist evaluates a patient’s communication needs and access options to recommend a speech-generating device during the first hour of assessment.
A speech-language pathologist with augmentative and alternative communication expertise evaluates whether a speech-generating device can meet a patient’s communication needs. The assessment may address people with complex communication needs, such as someone with ALS or cerebral palsy, and consider communication abilities, access methods, device features, and trials of candidate systems. It is commonly performed in an outpatient therapy setting with the patient present.
Report 92607 for the first hour of the face-to-face evaluation; report 92608 for each additional 30 minutes when the evaluation continues. Documentation should identify the patient’s communication needs, assessment activities, device or access options considered, recommendation, and time spent. CMS classifies this as a therapy service, so the professional component modifier does not apply. For multiple therapy units on the same day, practice expense is reduced for the second and later units under the therapy multiple procedure payment reduction.
CMS billing rules for 92607
- 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 RVU1.85 · 51%
- Practice expense (office) RVU1.80 · 49%
- Malpractice RVU0.01 · 0%
649
Medicare services in 2024 · #3331 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.
92607 compared with similar codes
Office rates for California, from the same CMS release.
$50.50–$61.11
92607 represents the first hour of evaluation. 92608 represents each additional 30 minutes.
$108.24–$130.93
92607 evaluates communication needs and supports a device recommendation. 92609 covers services for using a speech-generating device, including programming or modification.
Compare 92607 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office $129.06 | Facility Unavailable |
| Chico | Office $128.91 | Facility Unavailable |
| El Centro | Office $128.92 | Facility Unavailable |
| Fresno | Office $128.91 | Facility Unavailable |
| Hanford-Corcoran | Office $128.91 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $135.67 | Facility Unavailable |
| Madera | Office $128.91 | Facility Unavailable |
| Merced | Office $128.91 | Facility Unavailable |
| Modesto | Office $128.91 | Facility Unavailable |
| Napa | Office $145.09 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $134.79 | Facility Unavailable |
| Redding | Office $128.91 | Facility Unavailable |
| Rest Of California | Office $128.91 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $129.08 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $134.12 | Facility Unavailable |
| Salinas | Office $133.57 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $135.73 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $152.59 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $152.58 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $155.46 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $155.42 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $131.50 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $136.32 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $133.80 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $137.65 | Facility Unavailable |
| Stockton | Office $128.91 | Facility Unavailable |
| Vallejo | Office $145.08 | Facility Unavailable |
| Visalia | Office $128.91 | Facility Unavailable |
| Yuba City | Office $128.91 | Facility Unavailable |
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92607 billing questions
How is 92607 different from 92605?
92607 covers evaluation to recommend a speech-generating device. 92605 is for evaluating a prescription for a nonspeech-generating communication device.
When is 92608 reported with 92607?
92608 is reported for each additional 30 minutes of the speech-generating device evaluation after the first hour represented by 92607.
Does 92607 include device training or programming?
No. It covers evaluation for a device recommendation; 92609 describes services involving use of a speech-generating device, including programming or modification.
Should modifier 26 be appended?
No. CMS identifies 92607 as a therapy service for which the professional component modifier does not apply.
What time and assessment details should the record support?
Document face-to-face evaluation time and the communication needs, assessment activities, access methods or candidate devices considered, and resulting recommendation.
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.
11,86292604,,Reprogram cochlear implt 7/>,A,,1.25,1.36,,0.34,,0.01,2.62,1.60,7,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,86392605,,Ex for nonspeech device rx,B,+,1.75,0.93,,0.38,,0.11,2.79,2.24,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
11,86492606,,Non-speech device service,B,+,1.37,0.93,,0.30,,0.08,2.38,1.75,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
11,86592607,,Ex for speech device rx 1hr,A,,1.85,1.80,,1.80,NA,0.01,3.66,3.66,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,86692608,,Ex for speech device rx addl,A,,0.70,0.73,,0.73,NA,0.00,1.43,1.43,7,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,86792609,,Use of speech device service,A,,1.50,1.56,,1.56,NA,0.01,3.07,3.07,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,86892610,,Evaluate swallowing function,A,,1.30,1.23,,0.42,,0.01,2.54,1.73,7,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00