$117.69
Use 92607 for the initial hour of speech-generating device evaluation. Use 92608 only for additional evaluation time and report it with 92607.
On this page
CMS RVU26D · Effective 2026-10-01
92608 Speech device evaluation Medicare reimbursement rates in Indiana
Reports additional evaluation time beyond the initial hour spent assessing a patient’s needs and suitability for a speech-generating communication device. Compare 92608 office and facility rates across CMS payment localities in Indiana.
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 92608 in Indiana?
Indiana 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
$45.98
1 of 1 localities have a supported rate.
Payment area: Indiana
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 92608: Additional speech device prescription evaluation
Reports additional evaluation time beyond the initial hour spent assessing a patient’s needs and suitability for a speech-generating communication device.
A speech-language pathologist uses this service when evaluating a patient for a speech-generating device, such as an augmentative and alternative communication system. The assessment may address communication needs, the patient’s ability to access and operate a device, and which device features or options may support communication. It is used for the additional evaluation time after the initial hour, not for ongoing training or treatment in using a device.
Report 92608 with 92607, the primary code for the initial hour of speech-generating device evaluation. Document the assessment, the clinical basis for device recommendations, and the time supporting each additional 30-minute increment. CMS treats 92608 as an add-on code and pays it within the primary procedure’s global period. The professional component modifier does not apply to this therapy service.
CMS billing rules for 92608
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Professional and technical components
- Therapy service: the professional component modifier does not apply.
Where the value comes from
- Work RVU0.70 · 49%
- Practice expense (office) RVU0.73 · 51%
- Malpractice RVU0.00 · 0%
207
Medicare services in 2024 · #4296 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.
92608 compared with similar codes
Office rates for Indiana, from the same CMS release.
92618
No office rateEx for nonspeech dev rx add
92618 represents additional evaluation time for a nonspeech-generating device. 92608 is for additional evaluation time when the device being considered generates speech.
$98.57
92609 describes services involving use of a speech-generating device. 92608 is for additional time evaluating the patient for a device prescription.
Compare 92608 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
Indiana →
Office / nonfacility
$45.98
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 92608 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
11,866
- Code
- 92608
- Physician work
- 0.70
- Practice expense
- 0.73
- Malpractice
- 0.00
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.70 | × 1.000 | 0.7000 |
| Practice expense | 0.73 | × 0.927 | 0.6767 |
| Malpractice | 0.00 | × 0.486 | 0.0000 |
| Total RVUs | 1.3767 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$45.98
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.7 | 1 |
| Practice expense | 0.73 | 0.927 |
| Malpractice | 0 | 0.486 |
(0.7 × 1 + 0.73 × 0.927 + 0 × 0.486) × $33.4009 = $45.98
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.
92608 billing questions
When should 92608 be reported instead of 92607?
92607 covers the initial hour of a speech-generating device evaluation. Report 92608 for each additional 30 minutes of evaluation time, with 92607 as the primary code.
Can 92608 be billed by itself?
No. It is an add-on code and must be reported with 92607.
What documentation supports an additional unit?
Record the evaluation activities, findings relevant to the speech-generating device recommendation, and the time supporting each additional 30-minute increment.
Is modifier 26 appropriate for 92608?
No. CMS identifies this as a therapy service for which the professional component modifier does not apply.
How does 92608 differ from 92618?
92608 covers additional time evaluating a patient for a speech-generating device. 92618 is the corresponding additional-time code for evaluation of a nonspeech-generating device.
Does 92608 describe device-use training?
No. It covers additional evaluation time for a speech-generating device prescription; 92609 describes services for use of a speech-generating device.
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.
11,86392605,,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
11,86992611,,Motion fluoroscopy/swallow,A,,1.31,1.38,,1.38,NA,0.05,2.74,2.74,7,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915