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CPT 92524: Evaluation of Voice Quality, Nasality, and Vocal Behavior
CPT code 92524 represents a clinical evaluation of voice quality, nasality, and vocal behavior, typically performed by a speech-language pathologist. This code is used to document focused assessments of voice and resonance disorders—conditions that can affect communication, swallowing safety, and quality of life. Nationally, accurate use of this code supports clinical documentation, care coordination, and appropriate claims adjudication for voice-related services.
Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, United Healthcare, and Medicare. Readers will find a concise overview of the code’s clinical intent, common service settings, and how it relates to adjacent speech-language pathology services. The publication also summarizes typical diagnostic contexts in which the code is applied and lists related evaluative and treatment codes used for comprehensive speech and voice care.
This summary prepares clinicians, coding specialists, and revenue professionals to understand the clinical purpose of CPT code 92524, recognize common scenarios for its application, and locate related codes for broader speech and language assessment workflows.
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Billing Code Overview
CPT code 92524 describes an evaluation of voice quality, nasality, and vocal behavior performed by a clinician, typically a speech-language pathologist. The service focuses on assessing the functional characteristics of a patient’s voice, including resonance and behavioral voice patterns, to identify disorders of voice and resonance.
Service Type: Voice and resonance evaluation
Typical Site of Service: Outpatient clinic or speech and hearing center, where speech-language pathology evaluation services are commonly provided.
National Reimbursement Benchmarks
Across national payers, Medicare average reimbursement for CPT 92524 sits at $113.30, notably below the BUCA commercial average of $212.80; BUCA’s mean is roughly $99.50 higher than Medicare, reflecting a sizable commercial premium versus the Medicare baseline. This gap highlights how commercial networks, represented here by BUCA, pay materially more on average for this speech-language pathology code than the federal program.
Examining dispersion using the interquartile range (P75–P25), Blue Cross Blue Shield shows the widest spread at $115.90 (P75 $315.20 minus P25 $199.30), indicating more variability across its reimbursed rates. Aetna and Cigna are relatively tighter with ranges of $66.10 and $109.00 respectively, while UnitedHealth Group’s IQR is $89.20. BUCA’s IQR is $103.70 and Medicare’s IQR is $7.00, making Medicare the tightest by this measure and Blue Cross Blue Shield the most dispersed.