CPT 92608 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Medicine Services and Procedures • Special Otorhinolaryngologic Services and Procedures |
| Common Place of Service | • 11 - Office • None |
| Common Modifiers | • None • GN - Services delivered under an outpatient speech language pathology plan of care • GO - Services delivered under an outpatient occupational therapy plan of care |
| Complexity Level | Low |
National average reimbursement for CPT 92608 by major payers:
$59.26
$58.77
$59.48
$75.83
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 92608 | ||||||
United | 92608 | $79.58 | 1043346893 - CHRISTOPHER IKE | 630739971 - (AL) CARDIOLOGY ASSOCIATES, P.A. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 92608 | $20.57 | 1720163140 - ROBERT FOSTER | 631119002 - (AL) BIRMINGHAM HEART CLINIC, PC | AL | Interventional Cardiology Physician (207RI0011X) |
United | 92608 | $133.21 | 1992948046 - JACQUELINE GREEN | 260593928 | AL | Interventional Cardiology Physician (207RI0011X) |
United | 92608 | $88.48 | 1013964113 - EYECARE ASSOCIATES PC | 930590581 - EYECARE ASSOCIATES PC | OR | Ophthalmology Physician (207W00000X) |
United | 92608 | $88.48 | 1013964113 - EYECARE ASSOCIATES PC | 930590581 - EYECARE ASSOCIATES PC | OR | Ophthalmology Physician (207W00000X) |
United | 92608 | $20.57 | 1104037027 - JOSHUA COCKRELL | 631119002 - (AL) BIRMINGHAM HEART CLINIC, PC | AL | Interventional Cardiology Physician (207RI0011X) |
United | 92608 | $54.63 | 1275530636 - PERVAIZ MALIK | 203730869 - (AL) RIVER REGION CARDIOLOGY ASSOCIATES, P.C. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 92608 | $54.63 | 1487790481 - JAMES TRIMM | 631119002 - (AL) BIRMINGHAM HEART CLINIC, PC | AL | Interventional Cardiology Physician (207RI0011X) |
United | 92608 | $34.75 | 1043346893 - CHRISTOPHER IKE | 630739971 - (AL) CARDIOLOGY ASSOCIATES, P.A. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 92608 | $124.56 | 1245587765 - ZAKARIA ALMUWAQQAT | 582030692 - EMORY UNIVERSITY | AL | Interventional Cardiology Physician (207RI0011X) |
United | 92608 | $34.75 | 1912282948 - IMRAN KHALIL | 630739971 - (AL) CARDIOLOGY ASSOCIATES, P.A. | AL | Interventional Cardiology Physician (207RI0011X) |
United | 92608 | $17.53 | 1205975448 - CHRISTOPHER JOHNSON | 371158318 - (IL) SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC | IL | Psychiatry Physician (2084P0800X) |
United | 92608 | $90.30 | 1487858072 - GHASSAN ABUSAID | 262400924 | TX | Interventional Cardiology Physician (207RI0011X) |
United | 92608 | $31.38 | 1114924321 - THOMAS WOOL | 203204949 - THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFF OF UAB HLTH SYSTM | AL | Interventional Cardiology Physician (207RI0011X) |
United | 92608 | $97.11 | 1124106554 - CATHERINE PEREZ | 310667480 - (OH) PROFESSIONAL RADIOLOGY, INC. | OH | Diagnostic Radiology Physician (2085R0202X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 92608 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92608 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 92608 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 Non-Speech-Generating Augmentative And Alternative Communication Device, Face-To-Face With The Patient; First Hour |
| 92606-CPT | Low | Therapeutic Service(S) For The Use Of Non-Speech-Generating Device, Including Programming And Modification |
| 92607-CPT | Low | Evaluation For Prescription For Speech-Generating Augmentative And Alternative Communication Device, Face-To-Face With The Patient; First Hour |
| 92608-CPT | Low | Evaluation For Prescription For Speech-Generating Augmentative And Alternative Communication Device, Face-To-Face With The Patient; Each Additional 30 Minutes (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92608. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92608 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 92608) and we'll show you how you compare in 15 minutes or less.