CPT code 92507: Speech therapy2026 Medicare rate & RVUs in Illinois
Report an individual treatment session addressing a patient's speech, language, voice, fluency, communication, or auditory processing disorder.
Medicare pays $73.52–$77.59 for 92507 in the office in Illinois, from Rest Of Illinois to Suburban Chicago. 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 92507 covers
This code covers a treatment session in which a speech-language pathologist works directly with one patient on a communication disorder. Common targets include aphasia after stroke, motor speech disorders such as dysarthria and apraxia, voice disorders such as vocal fold nodules or Parkinson-related hypophonia, stuttering, articulation and language delays in children, and auditory processing deficits. Sessions take place in private SLP practices, outpatient hospital departments, rehabilitation agencies, and skilled nursing facilities under Part B.
The code is untimed, so a routine session is reported as one unit per date of service regardless of its length. Documentation should tie the session to the plan of care, name the goals addressed, describe the techniques and cues used, and record the patient's measurable response. Medicare requires the GN therapy modifier to identify services delivered under a speech-language pathology plan of care. This therapy service has no professional or technical split, so the professional component modifier is not used. Under the therapy multiple procedure payment reduction, practice expense is reduced for the second and later therapy units furnished to the same patient on the same day.
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.
Where 92507 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
4 payment localities
$73.52 to $77.59
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | $77.05 | Unavailable |
| East St. Louis | $73.90 | Unavailable |
| Rest Of Illinois | $73.52 | Unavailable |
| Suburban Chicago | $77.59 | Unavailable |
How the 92507 rate is calculated
Each of 92507’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 · 92507
RVUs × geographic indexes × conversion factor
Work1.30
1.30 RVUs× 1.000 GPCI
Practice expense0.97
0.97 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
2.2800
Conversion factor
$33.4009
Medicare rate
$76.15
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 92507
The CMS indicators that decide how 92507 is paid alongside other services.
CMS payment indicators · 92507
Speech 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
92507 without CQ · national office
$76.15
Speech therapy
92507-CQ · Allowed amount unchanged
$76.15
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.
92507 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 92508Speech therapy
- 92507 requires one-on-one treatment with a single patient; 92508 applies when the SLP treats two or more patients simultaneously in a group.
- 92526Swallowing therapy
- 92526 treats swallowing and oral feeding problems; 92507 treats speech, language, voice, fluency, communication, or auditory processing. Distinct documented services may warrant both codes on the same date.
- 97129Cognitive therapy
- 97129 is a timed cognitive function intervention code for attention, memory, and executive function; 92507 is untimed and targets communication or language deficits such as aphasia.
- 92523Speech-language evaluation
- 92523 evaluates speech sound production and language comprehension and expression; 92507 reports an individual treatment session.
92507 billing questions
How many units can be billed for a long session?
One. This is an untimed code, so a 30-minute or 60-minute individual session is reported as a single unit.
When should the group therapy code be used instead?
Use 92508 when the SLP treats two or more patients at the same time in a shared session. This code requires one-on-one treatment with a single patient.
Can swallowing therapy be billed on the same day?
Dysphagia treatment may be reported separately with 92526 when both communication and swallowing therapy are provided and documented as distinct services.
Which modifier does Medicare require?
The GN modifier identifies the service as delivered under a speech-language pathology plan of care.
Should cognitive rehabilitation be billed with this code?
When the treatment focuses on attention, memory, problem-solving, or executive function rather than communication or language, 97129 describes the initial cognitive function intervention. Choose based on the treatment goals and services documented.
Does the therapy payment reduction apply to this untimed code?
Yes. When therapy units are furnished to the same patient on the same day, practice expense is reduced for the second and later units.
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 92507 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 →