92507 requires one-on-one treatment with a single patient; 92508 applies when the SLP treats two or more patients simultaneously in a group.
On this page
CMS RVU26D · Effective 2026-10-01
92507 Speech therapy Medicare reimbursement rates in Utah
Report an individual treatment session addressing a patient's speech, language, voice, fluency, communication, or auditory processing disorder. Compare 92507 office and facility rates across CMS payment localities in Utah.
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 92507 in Utah?
Utah 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
$74.18
1 of 1 localities have a supported rate.
Payment area: Utah
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 pathology
About 92507: Individual speech, language, voice, and communication treatment
Report an individual treatment session addressing a patient's speech, language, voice, fluency, communication, or auditory processing disorder.
This code covers a treatment session in which a speech-language pathologist works directly with one patient on a communication disorder. Common targets include aphasia after stroke, motor speech disorders such as dysarthria and apraxia, voice disorders such as vocal fold nodules or Parkinson-related hypophonia, stuttering, articulation and language delays in children, and auditory processing deficits. Sessions take place in private SLP practices, outpatient hospital departments, rehabilitation agencies, and skilled nursing facilities under Part B.
The code is untimed, so a routine session is reported as one unit per date of service regardless of its length. Documentation should tie the session to the plan of care, name the goals addressed, describe the techniques and cues used, and record the patient's measurable response. Medicare requires the GN therapy modifier to identify services delivered under a speech-language pathology plan of care. This therapy service has no professional or technical split, so the professional component modifier is not used. Under the therapy multiple procedure payment reduction, practice expense is reduced for the second and later therapy units furnished to the same patient on the same day.
CMS billing rules for 92507
- 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 RVU1.30 · 57%
- Practice expense (office) RVU0.97 · 43%
- Malpractice RVU0.01 · 0%
819.3K
Medicare services in 2024 · #166 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.
92507 compared with similar codes
Office rates for Utah, from the same CMS release.
92526 treats swallowing and oral feeding problems; 92507 treats speech, language, voice, fluency, communication, or auditory processing. Distinct documented services may warrant both codes on the same date.
97129 is a timed cognitive function intervention code for attention, memory, and executive function; 92507 is untimed and targets communication or language deficits such as aphasia.
92523 evaluates speech sound production and language comprehension and expression; 92507 reports an individual treatment session.
Compare 92507 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
Utah →
Office / nonfacility
$74.18
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 92507 in Utah.
PPRRVU2026_Oct_nonQPP.csv
11,779
- Code
- 92507
- Physician work
- 1.30
- Practice expense
- 0.97
- Malpractice
- 0.01
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.30 | × 1.000 | 1.3000 |
| Practice expense | 0.97 | × 0.940 | 0.9118 |
| Malpractice | 0.01 | × 0.898 | 0.0090 |
| Total RVUs | 2.2208 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$74.18
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.3 | 1 |
| Practice expense | 0.97 | 0.94 |
| Malpractice | 0.01 | 0.898 |
(1.3 × 1 + 0.97 × 0.94 + 0.01 × 0.898) × $33.4009 = $74.18
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.
92507 billing questions
How many units can be billed for a long session?
One. This is an untimed code, so a 30-minute or 60-minute individual session is reported as a single unit.
When should the group therapy code be used instead?
Use 92508 when the SLP treats two or more patients at the same time in a shared session. This code requires one-on-one treatment with a single patient.
Can swallowing therapy be billed on the same day?
Dysphagia treatment may be reported separately with 92526 when both communication and swallowing therapy are provided and documented as distinct services.
Which modifier does Medicare require?
The GN modifier identifies the service as delivered under a speech-language pathology plan of care.
Should cognitive rehabilitation be billed with this code?
When the treatment focuses on attention, memory, problem-solving, or executive function rather than communication or language, 97129 describes the initial cognitive function intervention. Choose based on the treatment goals and services documented.
Does the therapy payment reduction apply to this untimed code?
Yes. When therapy units are furnished to the same patient on the same day, practice expense is reduced for the second and 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.
