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See a sample rate comparisonCPT 92607 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.
Ex For Speech Device Rx 1hr, Evaluation For Prescription For Speech Generating Augmentative And Alternative Communication Device Face To Face With The Patient First Hour
| 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 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $122.25 national non-facility rate (2026) · View Medicare rates for 92607 |
| Medicaid Fee Schedule | $103.63 median of the 7 states in the free preview · View Medicaid rates for 92607 |
National average reimbursement for CPT 92607 by major payers:
$161.52
$170.38
$160.22
$207.89
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CPT 92607
5 of 25 sample ratesHigher to lower in this preview
Rhonda Lampen
Multicare Health System
$289.05Published rateMark Alter
$254.74Published rateAparna Sharma
Loyola University Medical Center
$244.50Published rateKatie Richards
Northwestern Memorial Healthcare
$194.27Published rateDavid Kim
Town Center Orthopaedic Associates, P.C.
$131.96Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 92607 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92607 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 92607 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 |
|---|---|---|
| 92605-CPT | Low | Evaluation For Prescription Of, Evaluation For Prescription Of Non-Speech-Generating Augmentative And Alternative Communication Device Face-To-Face With The Patient First Hour |
| 92606-CPT | Low | Communication Device Services, Assessment And Training For Non-Speech Generating Communication Device To Assist A Person With Hearing Loss. |
| 92607-CPT | Low | Ex For Speech Device Rx 1hr, Evaluation For Prescription For Speech Generating Augmentative And Alternative Communication Device Face To Face With The Patient First Hour |
| 92609-CPT | Low | Speaking Device Exam Training, Assessment And Training For Speech Generating Communication Device To Assist Person With Hearing Loss. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92607. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92607 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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