$73.38–$75.25
92507 is treatment for speech, language, voice, or communication goals. Use 92526 for treatment directed at swallowing dysfunction or oral function for feeding.
On this page
CMS RVU26D · Effective 2026-10-01
92526 Swallowing therapy Medicare reimbursement rates in Michigan
Skilled therapy for swallowing dysfunction or oral feeding impairment, reported when treatment addresses the patient’s swallowing or feeding function. Compare 92526 office and facility rates across CMS payment localities in Michigan.
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 92526 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$80.81–$83.03
2 of 2 localities have a supported rate.
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 92526: Swallowing and oral feeding therapy
Skilled therapy for swallowing dysfunction or oral feeding impairment, reported when treatment addresses the patient’s swallowing or feeding function.
92526 represents skilled therapeutic intervention for impaired swallowing or oral function used for feeding. A speech-language pathologist commonly provides it for dysphagia after stroke, neurologic disease, or head and neck treatment, and for children with feeding-related oral-motor difficulty. Treatment may include swallowing practice, compensatory strategies, and exercises selected for the patient’s functional deficits. This is therapy, not a swallowing evaluation or an instrumental study, and may be provided in outpatient or facility settings.
Report the service for a treatment session, with documentation of the swallowing or feeding problem, skilled interventions, goals, and the patient’s response. It is generally an untimed service, reported as one unit per session rather than in 15-minute increments. CMS treats it as a therapy service, so a professional component modifier does not apply. When it is among multiple therapy services on the same day, the practice expense for the second and later therapy units is reduced under the therapy multiple procedure payment reduction.
CMS billing rules for 92526
- 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 RVU1.34 · 53%
- Practice expense (office) RVU1.17 · 46%
- Malpractice RVU0.01 · 0%
284.1K
Medicare services in 2024 · #324 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.
92526 compared with similar codes
Office rates for Michigan, from the same CMS release.
$81.31–$83.63
92610 reports a clinical swallowing evaluation; 92526 reports skilled treatment. The service performed, not just the diagnosis, determines the choice.
$87.72–$91.05
92611 is a videofluoroscopic swallowing evaluation. It documents swallowing function through imaging, whereas 92526 reports therapeutic intervention.
Compare 92526 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.
2 of 2 payment localities
Detroit →
Office / nonfacility
$83.03
Facility
Unavailable
Rest Of Michigan →
Office / nonfacility
$80.81
Facility
Unavailable
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92526 billing questions
How is 92526 different from 92507?
Use 92526 when skilled treatment targets swallowing or oral function for feeding. Use 92507 when the treatment targets speech, language, voice, or communication.
Is 92526 an evaluation code?
No. It reports treatment. Code 92610 is used for a clinical evaluation of oral and pharyngeal swallowing function.
Can modifier 26 be appended?
No. CMS identifies 92526 as a therapy service without a professional component modifier.
Is the service billed in 15-minute units?
No. It is generally reported as one unit per treatment session, not in 15-minute increments.
What happens when multiple therapy services are billed on the same day?
CMS reduces practice expense for the second and later therapy units on that day. The reduction applies when 92526 falls among those 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 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.
11,78992522,,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
11,79592533,,Caloric vestibular 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