92507 Tx sp lang voice comm indiv
What 92507 is
CMS fee schedule short descriptor: Tx sp lang voice comm indiv.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 92507 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 1.30 | 0.97 | 0.01 | 2.28 | $76.15 |
| Facility (hospital, ASC) | 1.30 | 0.97 | 0.01 | 2.28 | $76.15 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.
Medically Unlikely Edit (MUE)
Medicare caps 92507 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 92507? These codes are bundled into it
92507 is a Column 1 code in 18 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
0373T | Adapt bhv tx ea 15 min | 0 - no modifier bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
69209 | Remove impacted ear wax uni | 0 - no modifier bypass | Check pair |
69210 | Remove impacted ear wax uni | 0 - no modifier bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
97110 | Therapeutic exercises | 1 - modifier may bypass | Check pair |
97112 | Neuromuscular reeducation | 1 - modifier may bypass | Check pair |
97129 | Ther ivntj 1st 15 min | 1 - modifier may bypass | Check pair |
97150 | Group therapeutic procedures | 1 - modifier may bypass | Check pair |
97153 | Adaptive behavior tx by tech | 0 - no modifier bypass | Check pair |
97154 | Grp adapt bhv tx by tech | 0 - no modifier bypass | Check pair |
97155 | Adapt behavior tx phys/qhp | 0 - no modifier bypass | Check pair |
97156 | Fam adapt bhv tx gdn phy/qhp | 0 - no modifier bypass | Check pair |
97157 | Mult fam adapt bhv tx gdn | 0 - no modifier bypass | Check pair |
97530 | Therapeutic activities | 1 - modifier may bypass | Check pair |
97533 | Sensory integration | 1 - modifier may bypass | Check pair |
G0268 | Removal of impacted wax md | 0 - no modifier bypass | Check pair |
92507 is bundled into these codes
92507 appears as a Column 2 code in 13 active edits. Reported with one of these Column 1 codes on the same date of service, 92507 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0728T | Dx alys vstblr implt uni 1st | 1 | Check pair |
0729T | Dx alys vstblr implt uni sbq | 1 | Check pair |
92508 | Tx sp lang voice comm group | 1 | Check pair |
92601 | Cochlear implt f/up exam <7 | 1 | Check pair |
92602 | Reprogram cochlear implt <7 | 1 | Check pair |
92603 | Cochlear implt f/up exam 7/> | 1 | Check pair |
92604 | Reprogram cochlear implt 7/> | 1 | Check pair |
92607 | Ex for speech device rx 1hr | 1 | Check pair |
92609 | Use of speech device service | 1 | Check pair |
92640 | Aud brainstem implt programg | 1 | Check pair |
97158 | Grp adapt bhv tx by phy/qhp | 0 | Check pair |
G0153 | Hhcp-svs of s/l path,ea 15mn | 1 | Check pair |
G0161 | Hhc slp ea 15 min | 1 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.