$73.20
92597 addresses evaluation or fitting of a voice prosthetic device. Use 92507 for speech, language, or voice treatment that does not include that device service.
On this page
CMS RVU26D · Effective 2026-10-01
92597 Voice device evaluation Medicare reimbursement rates in Iowa
A speech-language pathologist evaluates or fits a voice prosthetic device, such as an electrolarynx, to support oral speech after laryngectomy. Compare 92597 office and facility rates across CMS payment localities in Iowa.
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 92597 in Iowa?
Iowa 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
$68.24
1 of 1 localities have a supported rate.
Payment area: Iowa
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 92597: Voice prosthesis use evaluation
A speech-language pathologist evaluates or fits a voice prosthetic device, such as an electrolarynx, to support oral speech after laryngectomy.
A speech-language pathologist assesses whether a patient can use a voice prosthetic device to produce oral speech and may help select or fit the device. A typical situation is a person after total laryngectomy learning to communicate with an electrolarynx or a tracheoesophageal voice prosthesis. The service may occur in an outpatient therapy clinic or a hospital setting.
Report this code for the evaluation or fitting of the voice device, rather than for general speech treatment alone or for an audiology test. Documentation should identify the communication impairment, device assessed or fitted, and the patient’s ability to use it for speech. This is a therapy service, so the professional component modifier does not apply. Under Medicare’s therapy multiple procedure payment reduction, practice expense is reduced for the second and subsequent therapy units on the same day.
CMS billing rules for 92597
- 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 RVU1.23 · 58%
- Practice expense (office) RVU0.88 · 41%
- Malpractice RVU0.02 · 1%
1.9K
Medicare services in 2024 · #2480 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.
92597 compared with similar codes
Office rates for Iowa, from the same CMS release.
$116.94
92607 is an evaluation for a speech-generating AAC device. 92597 is for a voice prosthetic device used to support oral speech.
$97.91
92609 covers therapy for using a speech-generating AAC device; 92597 covers evaluation or fitting of a voice prosthetic device.
Compare 92597 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
Iowa →
Office / nonfacility
$68.24
Facility
Unavailable
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 92597 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
11,858
- Code
- 92597
- Physician work
- 1.23
- Practice expense
- 0.88
- Malpractice
- 0.02
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.23 | × 1.000 | 1.2300 |
| Practice expense | 0.88 | × 0.915 | 0.8052 |
| Malpractice | 0.02 | × 0.397 | 0.0079 |
| Total RVUs | 2.0431 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$68.24
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.23 | 1 |
| Practice expense | 0.88 | 0.915 |
| Malpractice | 0.02 | 0.397 |
(1.23 × 1 + 0.88 × 0.915 + 0.02 × 0.397) × $33.4009 = $68.24
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.
92597 billing questions
When should this code be chosen instead of 92507?
Use 92597 when the service evaluates or fits a voice prosthetic device for oral speech. Use 92507 for speech, language, or voice treatment that is not the device evaluation or fitting.
Does this code cover speech therapy after the fitting?
It covers evaluation or fitting of the voice device. A separate speech-treatment service may be reported when it is performed and documented as distinct therapy.
Can 92597 be reported with modifier -26?
No. CMS identifies this as a therapy service for which the professional component modifier does not apply.
How does Medicare’s therapy multiple procedure reduction affect this code?
When multiple therapy units are furnished on the same day, practice expense is reduced for the second and subsequent units.
How does this differ from an AAC device evaluation?
92597 concerns a voice prosthetic device used to produce oral speech. Code 92607 concerns evaluation for a speech-generating augmentative and alternative communication 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.
11,85592588,26,Evoked auditory tst complete,A,,0.55,0.30,,0.30,,0.01,0.86,0.86,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,85692588,TC,Evoked auditory tst complete,A,,0.00,0.14,,0.14,NA,0.01,0.15,0.15,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,85792596,,Ear protector evaluation,A,,0.00,2.33,,2.33,NA,0.01,2.34,2.34,3,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,85892597,,Oral speech device eval,A,,1.23,0.88,,0.88,NA,0.02,2.13,2.13,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,85992601,,Cochlear implt f/up exam <7,A,,2.30,2.31,,0.63,,0.01,4.62,2.94,7,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,86092602,,Reprogram cochlear implt <7,A,,1.30,1.60,,0.36,,0.01,2.91,1.67,7,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,86192603,,Cochlear implt f/up exam 7/>,A,,2.25,2.10,,0.61,,0.01,4.36,2.87,7,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136