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See a sample rate comparisonCPT 92618 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 Nonspeech Dev Rx Add, Evaluation For Prescription Of Non-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)
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Otorhinolaryngologic Services and Procedures |
| Common Place of Service | 11 - Office 10 - Telehealth in Patient's Home |
| Common Modifiers | GN - Services delivered under an outpatient speech language pathology plan of care GT - Via interactive audio and video telecommunication systems |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 92618 |
| Medicaid Fee Schedule | $22.66 median of the 8 states in the free preview · View Medicaid rates for 92618 |
National average reimbursement for CPT 92618 by major payers:
$43.82
$43.84
$39.99
$116.17
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CPT 92618
5 of 25 sample ratesHigher to lower in this preview
Adam Wallace
Aurora Medical Group Inc
$124.62Published rateDivya Desai
Pediatric Faculty Foundation In
$65.87Published rateJamie Evans
Loyola University Medical Center
$55.18Published rateMy Phon Nguyen
Mount Sinai Community Foundation
$41.91Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$23.29Published rate
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See a sample payer proposalCPT 92618 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92618 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 92618 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 |
| 92618-CPT | Low | Ex For Nonspeech Dev Rx Add, Evaluation For Prescription Of Non-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 92618. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92618 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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