Billing code 92607: AAC evaluationMedicare rate & RVUs in Texas
A speech-language pathologist evaluates a patient’s communication needs and access options to recommend a speech-generating device during the first hour of assessment.
Medicare pays $116.81–$125.82 for 92607 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 92607 covers
A speech-language pathologist with augmentative and alternative communication expertise evaluates whether a speech-generating device can meet a patient’s communication needs. The assessment may address people with complex communication needs, such as someone with ALS or cerebral palsy, and consider communication abilities, access methods, device features, and trials of candidate systems. It is commonly performed in an outpatient therapy setting with the patient present.
Report 92607 for the first hour of the face-to-face evaluation; report 92608 for each additional 30 minutes when the evaluation continues. Documentation should identify the patient’s communication needs, assessment activities, device or access options considered, recommendation, and time spent. CMS classifies this as a therapy service, so the professional component modifier does not apply. For multiple therapy units 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 92607 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
$116.81 to $125.82
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | $125.82 | Unavailable |
| Beaumont | $116.81 | Unavailable |
| Brazoria | $122.13 | Unavailable |
| Dallas | $122.52 | Unavailable |
| Fort Worth | $121.92 | Unavailable |
| Galveston | $122.26 | Unavailable |
| Houston | $122.45 | Unavailable |
| Rest Of Texas | $119.15 | Unavailable |
How the 92607 rate is calculated
Each of 92607’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 · 92607
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.85Practice expense 1.80Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 92607
The CMS indicators that decide how 92607 is paid alongside other services.
CMS payment indicators · 92607
AAC 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
92607 without CQ · national office
$122.25
AAC evaluation
92607-CQ · Allowed amount unchanged
$122.25
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.
92607 compared with similar codes
Compare codes
92607 vs 92605 vs 92608 vs 92609: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 92605Ex for nonspeech device rx
- Choose 92607 when the evaluation concerns a speech-generating device; 92605 concerns a nonspeech-generating communication device.
- 92608Speech device evaluation
- 92607 represents the first hour of evaluation. 92608 represents each additional 30 minutes.
- 92609Speech device therapy
- 92607 evaluates communication needs and supports a device recommendation. 92609 covers services for using a speech-generating device, including programming or modification.
92607 billing questions
How is 92607 different from 92605?
92607 covers evaluation to recommend a speech-generating device. 92605 is for evaluating a prescription for a nonspeech-generating communication device.
When is 92608 reported with 92607?
92608 is reported for each additional 30 minutes of the speech-generating device evaluation after the first hour represented by 92607.
Does 92607 include device training or programming?
No. It covers evaluation for a device recommendation; 92609 describes services involving use of a speech-generating device, including programming or modification.
Should modifier 26 be appended?
No. CMS identifies 92607 as a therapy service for which the professional component modifier does not apply.
What time and assessment details should the record support?
Document face-to-face evaluation time and the communication needs, assessment activities, access methods or candidate devices considered, and resulting recommendation.
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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