$98.26
96105 is for an aphasia-focused language assessment; 96125 is used for cognitive testing by a health professional.
On this page
CMS RVU26D · Effective 2026-10-01
96105 Aphasia assessment Medicare reimbursement rates in Iowa
Report 96105 for an hourly assessment of language impairment consistent with aphasia, including interpretation and a written report. Compare 96105 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 96105 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
$93.04
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 assessment
About 96105: Aphasia assessment by the hour
Report 96105 for an hourly assessment of language impairment consistent with aphasia, including interpretation and a written report.
A speech-language pathologist commonly performs this assessment when a patient has difficulty communicating after a stroke, brain injury, or another neurologic condition. The evaluation focuses on language abilities affected by aphasia, such as understanding or expressing spoken or written language. It may use structured tasks or standardized assessment tools, with results interpreted in the context of the patient’s communication needs.
Report 96105 for the assessment service on an hourly basis. Documentation should identify the language functions assessed, the methods or tools used, the findings, and the time spent on the assessment. Interpretation and the resulting report are part of this service, rather than separate 96105 units. CMS prices the code through the physician fee schedule; the code’s hourly basis and the documented service support its reporting.
Where the value comes from
- Work RVU1.75 · 60%
- Practice expense (office) RVU1.11 · 38%
- Malpractice RVU0.05 · 2%
1.7K
Medicare services in 2024 · #2576 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.
96105 compared with similar codes
Office rates for Iowa, from the same CMS release.
$90.43
96105 evaluates language impairment associated with aphasia. 96116 concerns a broader neurobehavioral status examination.
$217.94
Choose 92523 for an evaluation of speech sound production and language comprehension or expression; choose 96105 when the assessment is specifically for aphasia.
Compare 96105 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
$93.04
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 96105 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
12,747
- Code
- 96105
- Physician work
- 1.75
- Practice expense
- 1.11
- Malpractice
- 0.05
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.75 | × 1.000 | 1.7500 |
| Practice expense | 1.11 | × 0.915 | 1.0157 |
| Malpractice | 0.05 | × 0.397 | 0.0199 |
| Total RVUs | 2.7855 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$93.04
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.75 | 1 |
| Practice expense | 1.11 | 0.915 |
| Malpractice | 0.05 | 0.397 |
(1.75 × 1 + 1.11 × 0.915 + 0.05 × 0.397) × $33.4009 = $93.04
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.
96105 billing questions
When should I report 96105 instead of cognitive testing?
Use 96105 when the service assesses language impairment associated with aphasia. Cognitive testing under 96125 addresses cognitive abilities rather than an aphasia-focused language assessment.
Is interpretation and the report separately billable under 96105?
Interpretation and the report are included in the hourly aphasia assessment. They do not constitute separate 96105 services.
How should the assessment time be documented?
Record the time attributable to the aphasia assessment and describe the language functions evaluated, methods used, findings, and interpretation. Report the service on an hourly basis.
Can 96105 be reported for a general speech-language evaluation?
Use 96105 when the service is specifically an assessment of aphasia. A broader speech-language evaluation, such as one evaluating speech sound production and language comprehension or expression, may fit a different code.
Who typically performs the assessment?
A speech-language pathologist commonly performs an aphasia assessment, including for patients with communication changes following stroke or brain injury.
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.
12,74496020,26,Functional brain mapping,A,,3.34,1.05,,1.05,,0.15,4.54,4.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,74596020,TC,Functional brain mapping,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,74696041,,Genetic counseling svc ea 30,B,+,0.00,1.61,,1.61,NA,0.04,1.65,1.65,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
12,74796105,,Assessment of aphasia,A,,1.75,1.11,,1.11,NA,0.05,2.91,2.91,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,04,0,99,0.00,0.00,0.00
12,74896110,,Developmental screen w/score,N,+,0.00,0.36,,0.36,NA,0.01,0.37,0.37,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,04,0,99,0.00,0.00,0.00
12,74996112,,Devel tst phys/qhp 1st hr,A,,2.56,1.05,,0.50,,0.14,3.75,3.20,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,04,0,99,0.00,0.00,0.00
12,75096113,,Devel tst phys/qhp ea addl,A,,1.16,0.49,,0.16,,0.03,1.68,1.35,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,04,0,99,0.00,0.00,0.00
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