CPT 92607
Global XXX ActiveEx for speech device rx 1hr
CPT 92607 Billing & Documentation Guide
CPT code 92607 (Ex for speech device rx 1hr) is classified under Audiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.85, a non-facility practice expense RVU of 1.8, and a malpractice RVU of 0.01, a total non-facility RVU of 3.66 and facility RVU of 3.66. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $126.09, though rates vary from $113.61 to $156.9 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 92607, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 92607 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 92607 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 92607
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.85 | 1.85 |
| Practice Expense RVU | 1.8 | 1.8 |
| Malpractice RVU | 0.01 | 0.01 |
| Total RVU | 3.66 | 3.66 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 92607
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $135.33 | $135.33 | $128.91 - $155.46 | 29 |
| Florida | $122.76 | $122.76 | $119.77 - $125.22 | 3 |
| Georgia | $119.64 | $119.64 | $115.82 - $123.46 | 2 |
| Illinois | $120.74 | $120.74 | $117.2 - $124.56 | 4 |
| Michigan | $118.72 | $118.72 | $117.06 - $120.37 | 2 |
| North Carolina | $118.1 | $118.1 | $118.1 - $118.1 | 1 |
| New York | $132.25 | $132.25 | $119.14 - $137.85 | 5 |
| Ohio | $117.02 | $117.02 | $117.02 - $117.02 | 1 |
| Pennsylvania | $121.6 | $121.6 | $117.3 - $125.89 | 2 |
| Texas | $121.63 | $121.63 | $116.81 - $125.82 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 92607
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 92607 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 92506 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 92507 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 92507 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 92508 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 92521 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 92521 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 92522 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 92522 | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
Frequently Asked Questions, CPT 92607
What does CPT code 92607 mean? +
CPT code 92607 represents: Ex for speech device rx 1hr. It's in the Audiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 92607? +
The 2026 Medicare national average non-facility payment for CPT 92607 is $126.09. Rates range from $113.61 to $156.9 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 92607? +
Medicine section spans a wide range: therapy services use GP/GO/GN (PT/OT/SLP plans of care) and KX (above cap with documentation). Drug administration uses JW (waste) and JZ (no waste). Professional/technical split applies to some diagnostic codes.
What bundling edits apply to CPT 92607? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team