CPT 92608
Global ZZZ ActiveEx for speech device rx addl
CPT 92608 Billing & Documentation Guide
CPT code 92608 (Ex for speech device rx addl) is classified under Audiology with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.7, a non-facility practice expense RVU of 0.73, and a malpractice RVU of 0, a total non-facility RVU of 1.43 and facility RVU of 1.43. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $49.3, though rates vary from $44.33 to $61.11 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 92608, 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 92608 with related codes; this code has 5 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 4 units of 92608 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 92608
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.7 | 0.7 |
| Practice Expense RVU | 0.73 | 0.73 |
| Malpractice RVU | 0 | 0 |
| Total RVU | 1.43 | 1.43 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 92608
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 | $53.07 | $53.07 | $50.5 - $61.11 | 29 |
| Florida | $47.84 | $47.84 | $46.69 - $48.76 | 3 |
| Georgia | $46.68 | $46.68 | $45.13 - $48.22 | 2 |
| Illinois | $47.02 | $47.02 | $45.64 - $48.59 | 4 |
| Michigan | $46.28 | $46.28 | $45.64 - $46.91 | 2 |
| North Carolina | $46.13 | $46.13 | $46.13 - $46.13 | 1 |
| New York | $51.69 | $51.69 | $46.54 - $53.87 | 5 |
| Ohio | $45.64 | $45.64 | $45.64 - $45.64 | 1 |
| Pennsylvania | $47.47 | $47.47 | $45.76 - $49.18 | 2 |
| Texas | $47.51 | $47.51 | $45.57 - $49.22 | 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 92608
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 92608 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 |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 97755 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 97755 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 92608
What does CPT code 92608 mean? +
CPT code 92608 represents: Ex for speech device rx addl. It's in the Audiology category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 92608? +
The 2026 Medicare national average non-facility payment for CPT 92608 is $49.3. Rates range from $44.33 to $61.11 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 92608? +
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 92608? +
This code has 5 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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