NPI Portal NPI Lookup & Verification

Physical, occupational & speech therapy

92526 - RVUs & Medicare payment (2026)

Treatment of swallowing or oral feeding function.

Component Non-facility Facility
Work RVU 1.34 1.34
Practice expense RVU 1.17 1.17
Malpractice RVU 0.01 0.01
Total RVUs 2.52 2.52
National payment (CF $33.4009) $84.17 $84.17
Qualifying APM payment (CF $33.5675) $84.59 $84.59

How 92526 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 92526 ranges from $78.50 in Arkansas (AR) to $108.94 in Alaska (AK); calculate 92526 for your locality.

Alaska (AK) $108.94 San Jose-Sunnyvale-Santa Clara (CA) $106.21 San Jose-Sunnyvale-Santa Clara (CA) $106.17 San Francisco-Oakland-Berkeley (CA) $104.26 San Francisco-Oakland-Berkeley (CA) $104.25 Napa (CA) $99.25 Vallejo (CA) $99.24 Seattle (WA) $95.22 National average $84.17 … 97 more localities between … Alabama (AL) $79.14 Rest Of Missouri (MO) $78.77 Mississippi (MS) $78.65 Arkansas (AR) $78.50
Non-facility payment for 92526 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
  • 92523 · evaluation of speech sound production and language
  • 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 92526 in 2026?
The national non-facility payment is $84.17 and the facility payment is $84.17, 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 92526?
The 2026 work RVU for 92526 is 1.34. Total RVUs are 2.52 in the non-facility setting and 2.52 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.