$76.07
92507 is for individual speech-language treatment; 92508 is for treatment provided in a group session.
On this page
CMS RVU26D · Effective 2026-10-01
92508 Speech therapy Medicare reimbursement rates in Wyoming
Report 92508 for skilled speech-language treatment delivered to multiple patients together, rather than individual treatment for one patient. Compare 92508 office and facility rates across CMS payment localities in Wyoming.
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 92508 in Wyoming?
Wyoming 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
$23.96
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 therapy
About 92508: Group speech-language treatment
Report 92508 for skilled speech-language treatment delivered to multiple patients together, rather than individual treatment for one patient.
A speech-language pathologist typically uses this service to treat multiple patients in a shared session, working on communication, speech, language, voice, or auditory-processing goals. Group activities may include structured conversation or practice of communication strategies, with skilled direction tailored to each participant. Services are commonly provided in outpatient therapy settings and hospital departments.
Report the group service for each patient who receives it, and document the group format, skilled interventions, individualized goals, and each patient’s participation and response. Choose individual treatment code 92507 when the clinician treats one patient at a time. This is a therapy service, not a separately billed professional component; the professional component modifier does not apply. CMS reduces the practice-expense portion for the second and subsequent therapy units on the same day.
CMS billing rules for 92508
- 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 RVU0.33 · 46%
- Practice expense (office) RVU0.38 · 53%
- Malpractice RVU0.01 · 1%
6.9K
Medicare services in 2024 · #1669 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.
92508 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$226.37
92523 is an evaluation of speech production and language comprehension. 92508 reports skilled group treatment, not assessment.
$84.08
92526 addresses swallowing and oral function. Use 92508 for group speech-language treatment directed at communication-related goals.
Compare 92508 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
Wyoming** →
Office / nonfacility
$23.96
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 92508 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
11,780
- Code
- 92508
- Physician work
- 0.33
- Practice expense
- 0.38
- Malpractice
- 0.01
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.33 | × 1.000 | 0.3300 |
| Practice expense | 0.38 | × 1.000 | 0.3800 |
| Malpractice | 0.01 | × 0.740 | 0.0074 |
| Total RVUs | 0.7174 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$23.96
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.33 | 1 |
| Practice expense | 0.38 | 1 |
| Malpractice | 0.01 | 0.74 |
(0.33 × 1 + 0.38 × 1 + 0.01 × 0.74) × $33.4009 = $23.96
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.
92508 billing questions
When should 92508 be used instead of 92507?
Use 92508 when the patient receives skilled treatment as part of a group session. Use 92507 for individual treatment.
Is the group service billed once for the whole group?
No. Report the service for each patient who receives treatment, with documentation supporting that patient’s participation and skilled care.
Can a professional component modifier be appended?
No. CMS identifies this as a therapy service for which the professional component modifier does not apply.
How does the therapy multiple procedure payment reduction affect 92508?
When multiple therapy units are reported on the same day, CMS reduces the practice-expense portion for the second and subsequent units.
What documentation supports reporting a group session?
Document the group format, the patient’s individualized treatment goals, skilled interventions, participation, and response to treatment.
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.
11,77792502,,Ear and throat examination,A,,1.47,1.01,NA,1.01,,0.11,2.59,2.59,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,77892504,,Ear microscopy examination,A,,0.18,0.67,,0.04,,0.01,0.86,0.23,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,77992507,,Tx sp lang voice comm indiv,A,,1.30,0.97,,0.97,NA,0.01,2.28,2.28,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,78092508,,Tx sp lang voice comm group,A,,0.33,0.38,,0.38,NA,0.01,0.72,0.72,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,78192511,,Nasopharyngoscopy,A,,0.59,2.84,,0.35,,0.04,3.47,0.98,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
11,78292512,,Nasal function studies,A,,0.54,1.37,,0.12,,0.04,1.95,0.70,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,78392516,,Facial nerve function test,A,,0.42,1.80,,0.11,,0.03,2.25,0.56,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,