Billing code 92597: Voice device evaluationMedicare rate & RVUs in Ohio
A speech-language pathologist evaluates or fits a voice prosthetic device, such as an electrolarynx, to support oral speech after laryngectomy.
Medicare pays $68.59 for 92597 in the office in Ohio (Ohio). 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 92597 covers
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.
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 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | $68.59 | Unavailable |
How the 92597 rate is calculated
Each of 92597’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 · 92597
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.23Practice expense 0.88Malpractice 0.02
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 92597
The CMS indicators that decide how 92597 is paid alongside other services.
CMS payment indicators · 92597
Voice device evaluation
| 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
92597 without CQ · national office
$71.14
Voice device evaluation
92597-CQ · Allowed amount unchanged
$71.14
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.
92597 compared with similar codes
Compare codes
92597 vs 92507 vs 92607 vs 92609: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 92507Speech therapy
- 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.
- 92607AAC evaluation
- 92607 is an evaluation for a speech-generating AAC device. 92597 is for a voice prosthetic device used to support oral speech.
- 92609Speech device therapy
- 92609 covers therapy for using a speech-generating AAC device; 92597 covers evaluation or fitting of a voice prosthetic device.
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 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
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