Physical, occupational & speech therapy

92523 - RVUs & Medicare payment (2026)

Evaluation of speech sound production and language.

Component	Non-facility	Facility
Work RVU	3.84	3.84
Practice expense RVU	2.93	2.93
Malpractice RVU	0.01	0.01
Total RVUs	6.78	6.78
National payment (CF $33.4009)	$226.46	$226.46
Qualifying APM payment (CF $33.5675)	$227.59	$227.59

How 92523 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 92523 ranges from $212.50 in Arkansas (AR) to $296.80 in Alaska (AK); calculate 92523 for your locality.

Alaska (AK) $296.80 San Jose-Sunnyvale-Santa Clara (CA) $283.67 San Jose-Sunnyvale-Santa Clara (CA) $283.62 San Francisco-Oakland-Berkeley (CA) $278.59 San Francisco-Oakland-Berkeley (CA) $278.58 Napa (CA) $265.50 Vallejo (CA) $265.48 Seattle (WA) $255.03 National average $226.46 … 97 more localities between … West Virginia (WV) $213.78 Rest Of Missouri (MO) $212.94 Mississippi (MS) $212.77 Arkansas (AR) $212.50

Non-facility payment for 92523 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: XXX

No global period: the global surgery concept does not apply to this code.

Related codes - physical, occupational & speech therapy

97161 · physical therapy evaluation, low complexity
97162 · physical therapy evaluation, moderate complexity
97163 · physical therapy evaluation, high complexity
97164 · physical therapy re-evaluation
97165 · occupational therapy evaluation, low complexity
97166 · occupational therapy evaluation, moderate complexity
97167 · occupational therapy evaluation, high complexity
97110 · therapeutic exercise, each 15 minutes
97112 · neuromuscular re-education, each 15 minutes
97116 · gait training, each 15 minutes
97140 · manual therapy, each 15 minutes
97530 · therapeutic activities, each 15 minutes
97535 · self-care and home management training, each 15 minutes
92507 · speech, language, voice treatment, individual
92526 · treatment of swallowing or oral feeding function
98940 · chiropractic manipulation, 1-2 spinal regions
98941 · chiropractic manipulation, 3-4 spinal regions
98942 · chiropractic manipulation, 5 spinal regions
97810 · acupuncture without electrical stimulation, initial 15 minutes
97811 · acupuncture without electrical stimulation, each additional 15 minutes
97813 · acupuncture with electrical stimulation, initial 15 minutes
97814 · acupuncture with electrical stimulation, each additional 15 minutes

Frequently asked questions

How much does Medicare pay for 92523 in 2026?

The national non-facility payment is $226.46 and the facility payment is $226.46, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for 92523?

The 2026 work RVU for 92523 is 3.84. Total RVUs are 6.78 in the non-facility setting and 6.78 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.