$85.23
92524 captures perceptual assessment of voice and resonance; 92520 describes laryngeal function testing, including physiologic or acoustic measures.
On this page
CMS RVU26D · Effective 2026-10-01
92524 Voice evaluation Medicare reimbursement rates in Idaho
A speech-language pathologist assesses voice and resonance perceptually to characterize dysphonia or another voice problem and guide clinical management. Compare 92524 office and facility rates across CMS payment localities in Idaho.
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 92524 in Idaho?
Idaho has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$105.47
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
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.
Speech-language pathology
About 92524: Behavioral voice and resonance evaluation
A speech-language pathologist assesses voice and resonance perceptually to characterize dysphonia or another voice problem and guide clinical management.
A speech-language pathologist uses listening and structured observation to assess features such as vocal quality, pitch, loudness, and resonance. The evaluation may be appropriate for a patient with hoarseness, vocal strain, or a suspected resonance disorder, including concerns arising after laryngeal surgery. It is performed in settings where speech-language pathology services are provided and focuses on the patient’s voice as heard during assessment, rather than on voice exercises or treatment.
Select this code when the documented service is a behavioral, perceptual analysis of voice and resonance. The record should identify the voice concern, the assessment performed, relevant findings, and the clinical interpretation or plan. CMS classifies this as a therapy service, so a professional-component modifier does not apply. When multiple therapy units are furnished 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 92524
- 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 RVU1.92 · 59%
- Practice expense (office) RVU1.33 · 41%
- Malpractice RVU0.03 · 1%
27.2K
Medicare services in 2024 · #1010 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.
92524 compared with similar codes
Office rates for Idaho, from the same CMS release.
$128.44
Use 92521 when the assessment focuses on speech fluency, such as stuttering, rather than voice quality or resonance.
$107.47
Use 92522 for an evaluation of speech sound production. It does not represent a perceptual voice and resonance assessment.
$218.45
Use 92523 when evaluating speech sound production together with language comprehension and expression; 92524 focuses on voice and resonance.
Compare 92524 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.
1 of 1 payment localities
Idaho →
Office / nonfacility
$105.47
Facility
Unavailable
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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 92524 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
11,791
- Code
- 92524
- Physician work
- 1.92
- Practice expense
- 1.33
- Malpractice
- 0.03
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.92 | × 1.000 | 1.9200 |
| Practice expense | 1.33 | × 0.920 | 1.2236 |
| Malpractice | 0.03 | × 0.473 | 0.0142 |
| Total RVUs | 3.1578 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Idaho$105.47
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.92 | 1 |
| Practice expense | 1.33 | 0.92 |
| Malpractice | 0.03 | 0.473 |
(1.92 × 1 + 1.33 × 0.92 + 0.03 × 0.473) × $33.4009 = $105.47
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.
92524 billing questions
When should this code be chosen instead of 92520?
Use 92524 for perceptual assessment of voice and resonance. Code 92520 is for laryngeal function studies, such as physiologic or acoustic testing.
Is this code for voice treatment?
No. It represents an evaluation of voice and resonance. Voice exercises or other individual speech-language treatment are reported separately when performed and supported.
Should modifier 26 be appended?
No. CMS identifies this as a therapy service for which the professional-component modifier does not apply.
How should units be reported?
Report the voice evaluation as a service, not by the number of voice qualities, listening tasks, or samples assessed. CMS reduces practice expense for the second and later therapy units furnished on the same day.
What documentation supports reporting this code?
Document the voice or resonance concern, the perceptual assessment performed, the findings, and how those findings inform the clinical plan.
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.
11,78892521,,Evaluation of speech fluency,A,,2.24,1.74,,1.74,NA,0.01,3.99,3.99,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,78992522,,Evaluate speech production,A,,1.92,1.39,,1.39,NA,0.04,3.35,3.35,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,79092523,,Speech sound lang comprehen,A,,3.84,2.93,,2.93,NA,0.01,6.78,6.78,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,79192524,,Behavral qualit analys voice,A,,1.92,1.33,,1.33,NA,0.03,3.28,3.28,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,79292526,,Oral function therapy,A,,1.34,1.17,,1.17,NA,0.01,2.52,2.52,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,79392531,,Spontaneous nystagmus study,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
11,79492532,,Positional nystagmus test,B,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772