Billing code 92524: Voice evaluationMedicare rate & RVUs in Texas
A speech-language pathologist assesses voice and resonance perceptually to characterize dysphonia or another voice problem and guide clinical management.
Medicare pays $105.49–$112.15 for 92524 in the office in Texas, from Beaumont to Austin. 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 92524 covers
A speech-language pathologist uses listening and structured observation to assess features such as vocal quality, pitch, loudness, and resonance. The evaluation may be appropriate for a patient with hoarseness, vocal strain, or a suspected resonance disorder, including concerns arising after laryngeal surgery. It is performed in settings where speech-language pathology services are provided and focuses on the patient’s voice as heard during assessment, rather than on voice exercises or treatment.
Select this code when the documented service is a behavioral, perceptual analysis of voice and resonance. The record should identify the voice concern, the assessment performed, relevant findings, and the clinical interpretation or plan. CMS classifies this as a therapy service, so a professional-component modifier does not apply. When multiple therapy units are furnished on the same day, practice expense is reduced for the second and later units under the therapy multiple procedure payment reduction.
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.
Where 92524 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$105.49 to $112.15
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | $112.15 | Unavailable |
| Beaumont | $105.49 | Unavailable |
| Brazoria | $109.45 | Unavailable |
| Dallas | $109.81 | Unavailable |
| Fort Worth | $109.38 | Unavailable |
| Galveston | $109.58 | Unavailable |
| Houston | $110.13 | Unavailable |
| Rest Of Texas | $107.19 | Unavailable |
How the 92524 rate is calculated
Each of 92524’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 · 92524
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.92Practice expense 1.33Malpractice 0.03
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 92524
The CMS indicators that decide how 92524 is paid alongside other services.
CMS payment indicators · 92524
Voice 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
92524 without CQ · national office
$109.55
Voice evaluation
92524-CQ · Allowed amount unchanged
$109.55
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.
92524 compared with similar codes
Compare codes
92524 vs 92520 vs 92521 vs 92522 vs 92523: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 92520Laryngeal testing
- 92524 captures perceptual assessment of voice and resonance; 92520 describes laryngeal function testing, including physiologic or acoustic measures.
- 92521Speech evaluation
- Use 92521 when the assessment focuses on speech fluency, such as stuttering, rather than voice quality or resonance.
- 92522Speech evaluation
- Use 92522 for an evaluation of speech sound production. It does not represent a perceptual voice and resonance assessment.
- 92523Speech-language evaluation
- Use 92523 when evaluating speech sound production together with language comprehension and expression; 92524 focuses on voice and resonance.
92524 billing questions
When should this code be chosen instead of 92520?
Use 92524 for perceptual assessment of voice and resonance. Code 92520 is for laryngeal function studies, such as physiologic or acoustic testing.
Is this code for voice treatment?
No. It represents an evaluation of voice and resonance. Voice exercises or other individual speech-language treatment are reported separately when performed and supported.
Should modifier 26 be appended?
No. CMS identifies this as a therapy service for which the professional-component modifier does not apply.
How should units be reported?
Report the voice evaluation as a service, not by the number of voice qualities, listening tasks, or samples assessed. CMS reduces practice expense for the second and later therapy units furnished on the same day.
What documentation supports reporting this code?
Document the voice or resonance concern, the perceptual assessment performed, the findings, and how those findings inform the clinical plan.
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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