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See a sample rate comparisonCPT 92523 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.
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
| 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 KX - Requirements specified in the medical policy have been met |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $226.46 national non-facility rate (2026) · View Medicare rates for 92523 |
| Medicaid Fee Schedule | $183.47 median of the 7 states in the free preview · View Medicaid rates for 92523 |
National average reimbursement for CPT 92523 by major payers:
$259.01
$254.14
$223.81
$353.56
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CPT 92523
5 of 25 sample ratesHigher to lower in this preview
Adam Rappoport
The Nemours Foundation
$658.08Published rateJohn Millichap
Advocate Health And Hospitals Corporation
$341.85Published rateSurya Sabhapathy
The Board Of Trustees Of The University Of Illinois
$292.60Published rateEugene Schnitzler
$209.05Published rateKristin Whitley
Town Center Orthopaedic Associates, P.C.
$180.29Published rate
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See a sample payer proposalCPT 92523 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92523 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 92523 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 |
|---|---|---|
| 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 |
| 92524-CPT | Low | Speech Analysis, An Observation And Analysis Of A Persons Speech Patterns And Vocal Behavior To Determine Speech Therapy Needs. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92523. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92523 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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