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See a sample rate comparisonCPT 92522 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Eval Of Speech Sound Producti (Eg Articulation Phonological, Evaluation Of Speech Sound Production (Eg Articulation Phonological
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Otorhinolaryngologic Services and Procedures |
| Common Place of Service | 11 - Office |
| Common Modifiers | GN - Services delivered under an outpatient speech language pathology plan of care 96 |
| Complexity Level | Low |
| Medicare Fee Schedule | $111.89 national non-facility rate (2026) · View Medicare rates for 92522 |
| Medicaid Fee Schedule | $90.36 median of the 7 states in the free preview · View Medicaid rates for 92522 |
National average reimbursement for CPT 92522 by major payers:
$131.41
$121.62
$111.40
$176.30
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CPT 92522
5 of 25 sample ratesHigher to lower in this preview
Nika Khodorkovsky
Lenox Hill Hospital Medical PC
$222.97Published rateVikas Grover
Boston Children'S Health Physicians, LLP
$127.55Published rateAshley Crosby
Auburn Community Hospital
$100.13Published rateAshley Campbell
Sports Physical Therapy Occupationa Therapy And Rehabilitation Service
$90.20Published rateVicky Chiang
Four Season Medical PLLC
$56.72Published rate
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See a sample payer proposalCPT 92522 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92522 code is part of the Medicine Services and Procedures services used for Special Otorhinolaryngologic Services and Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 92522 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 92521-CPT | Low | Speech Evaluation, An Evaluation Of The Smoothness Or Flow With Which Sounds Syllables Words And Phrases Are Joined Together When A Person Is Speaking And The Identification Of Any Stuttering Or Cluttering. |
| 92522-CPT | Low | Eval Of Speech Sound Producti (Eg Articulation Phonological, Evaluation Of Speech Sound Production (Eg Articulation Phonological |
| 92523-CPT | Moderate | Speech Sound Lang Comprehen, Evaluation Of Speech Sound Production Eg Articulation Phonological Process Apraxia Dysarthria With Evaluation Of Language Comprehension And Expression Eg Receptive And Expressive Language |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92522. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92522 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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