CPT code 92610: Swallow evaluation, clinical, noninstrumental assessment2026 Medicare rate & RVUs in North Dakota
A speech-language pathologist evaluates oral and pharyngeal swallowing clinically to identify swallowing problems and guide recommendations or further assessment.
In North Dakota, Medicare pays $84.64 for 92610 in the office and $57.59 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 92610 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 92610 covers
A speech-language pathologist typically performs this clinical assessment in an outpatient therapy clinic, hospital, or other care setting. The evaluation may include relevant history, an oral mechanism examination, and observation of swallowing with food or liquids when appropriate. The clinician assesses oral preparation and transit, observed swallowing responses, and signs that may indicate impaired swallowing. Findings help guide recommendations and determine whether an instrumental study is needed.
Report 92610 for the clinical evaluation itself, not for imaging or endoscopic visualization. Documentation should describe the assessment performed, relevant findings, clinical interpretation, and resulting recommendations or plan. When fluoroscopy or endoscopy is performed, use the code that describes that instrumental service rather than treating it as part of the clinical evaluation. CMS classifies this as a therapy service, so a professional component modifier does not apply.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How North Dakota compares for 92610
Across 109 of 109 payment localities, the office rate for 92610 runs from $78.88 in Arkansas to $109.07 in Alaska. North Dakota pays $84.64. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$84.64
- Los Angeles, CA · California$94.02+$9.38
- Washington, DC area · District of Columbia$94.53+$9.89
- Miami, FL · Florida$87.03+$2.39
- Chicago, IL · Illinois$85.78+$1.14
- Manhattan, NY · New York$94.47+$9.83
- Alaska · Alaska$109.07+$24.43
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $79.56 | $55.89 |
| ArkansasArkansas | $78.88 | $55.64 |
| ArizonaArizona | $83.52 | $57.30 |
| Bakersfield, CACalifornia | $89.48 | $59.82 |
| Chico, CACalifornia | $89.37 | $59.71 |
| El Centro, CACalifornia | $89.37 | $59.72 |
| Fresno, CACalifornia | $89.37 | $59.71 |
| Hanford, CACalifornia | $89.37 | $59.71 |
| Madera, CACalifornia | $89.37 | $59.71 |
| Merced, CACalifornia | $89.37 | $59.71 |
| Modesto, CACalifornia | $89.37 | $59.71 |
| Napa, CACalifornia | $100.47 | $64.82 |
| Oxnard, CACalifornia | $93.41 | $61.43 |
| Redding, CACalifornia | $89.37 | $59.71 |
| Rest of CaliforniaCalifornia | $89.37 | $59.71 |
| Riverside, CACalifornia | $89.51 | $59.86 |
| Sacramento, CACalifornia | $92.94 | $61.48 |
| Salinas, CACalifornia | $92.56 | $61.21 |
| San Diego, CACalifornia | $94.04 | $61.68 |
| Marin County, CACalifornia | $105.63 | $67.48 |
| San Francisco, CACalifornia | $105.62 | $67.47 |
| San Benito County, CACalifornia | $107.62 | $68.61 |
| Santa Clara County, CACalifornia | $107.57 | $68.56 |
| San Luis Obispo, CACalifornia | $91.13 | $60.32 |
| Santa Cruz, CACalifornia | $94.43 | $61.56 |
| Santa Maria, CACalifornia | $92.72 | $61.17 |
| Santa Rosa, CACalifornia | $95.35 | $62.13 |
| Stockton, CACalifornia | $89.37 | $59.71 |
| Vallejo, CACalifornia | $100.46 | $64.80 |
| Visalia, CACalifornia | $89.37 | $59.71 |
| Yuba City, CACalifornia | $89.37 | $59.71 |
| ColoradoColorado | $87.92 | $59.13 |
| ConnecticutConnecticut | $88.94 | $59.80 |
| DelawareDelaware | $84.53 | $57.80 |
| Fort Lauderdale, FLFlorida | $85.64 | $58.24 |
| Rest of FloridaFlorida | $83.20 | $57.33 |
| Atlanta, GAGeorgia | $85.69 | $58.21 |
| Rest of GeorgiaGeorgia | $80.47 | $56.33 |
| Hawaii, Guam, HIHawaii | $90.33 | $59.56 |
| IowaIowa | $81.14 | $56.39 |
| IdahoIdaho | $81.38 | $56.49 |
| East St. Louis, ILIllinois | $81.89 | $57.00 |
| Rest of IllinoisIllinois | $81.45 | $56.75 |
| Suburban Chicago, ILIllinois | $86.51 | $58.72 |
| IndianaIndiana | $81.67 | $56.59 |
| KansasKansas | $80.73 | $56.27 |
| KentuckyKentucky | $80.25 | $56.20 |
| New Orleans, LALouisiana | $82.46 | $57.00 |
| Rest of LouisianaLouisiana | $80.10 | $56.16 |
| Metropolitan Boston, MAMassachusetts | $94.55 | $62.25 |
| Rest of MassachusettsMassachusetts | $87.64 | $59.15 |
| Baltimore area, MDMaryland | $88.61 | $59.58 |
| Rest of MarylandMaryland | $85.74 | $58.36 |
| Rest of MaineMaine | $81.43 | $56.54 |
| Southern Maine, MEMaine | $84.35 | $57.53 |
| Detroit, MIMichigan | $83.63 | $57.52 |
| Rest of MichiganMichigan | $81.31 | $56.61 |
| MinnesotaMinnesota | $85.79 | $57.96 |
| Metropolitan Kansas City, MOMissouri | $82.32 | $56.92 |
| Metropolitan St. Louis, MOMissouri | $82.87 | $57.11 |
| Rest of MissouriMissouri | $79.16 | $55.84 |
| MississippiMississippi | $79.04 | $55.75 |
| MontanaMontana | $84.84 | $57.78 |
| North CarolinaNorth Carolina | $81.97 | $56.72 |
| NebraskaNebraska | $81.47 | $56.50 |
| New HampshireNew Hampshire | $86.48 | $58.32 |
| Northern New JerseyNew Jersey | $94.17 | $62.79 |
| Rest of New JerseyNew Jersey | $90.39 | $60.84 |
| New MexicoNew Mexico | $81.50 | $56.69 |
| NevadaNevada | $84.82 | $57.74 |
| NYC suburbs and Long Island, NYNew York | $95.67 | $63.50 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $90.77 | $61.14 |
| Queens, NYNew York | $95.24 | $63.26 |
| Rest of New YorkNew York | $82.68 | $56.98 |
| OhioOhio | $81.27 | $56.57 |
| OklahomaOklahoma | $80.37 | $56.21 |
| Portland, OROregon | $90.01 | $59.95 |
| Rest of OregonOregon | $84.57 | $57.63 |
| Metropolitan Philadelphia, PAPennsylvania | $87.37 | $59.20 |
| Rest of PennsylvaniaPennsylvania | $81.45 | $56.61 |
| Puerto RicoPuerto Rico | $85.29 | $57.93 |
| Rhode IslandRhode Island | $86.98 | $59.04 |
| South CarolinaSouth Carolina | $81.67 | $56.67 |
| South DakotaSouth Dakota | $84.62 | $57.56 |
| TennesseeTennessee | $80.95 | $56.35 |
| Austin, TXTexas | $87.27 | $58.65 |
| Beaumont, TXTexas | $81.12 | $56.50 |
| Brazoria, TXTexas | $84.74 | $57.93 |
| Dallas, TXTexas | $85.02 | $58.07 |
| Fort Worth, TXTexas | $84.61 | $57.93 |
| Galveston, TXTexas | $84.84 | $57.98 |
| Houston, TXTexas | $85.02 | $58.16 |
| Rest of TexasTexas | $82.71 | $57.04 |
| UtahUtah | $82.34 | $56.91 |
| VirginiaVirginia | $84.04 | $57.45 |
| Virgin Islands, VIUnited States Virgin Islands | $85.29 | $57.93 |
| VermontVermont | $84.26 | $57.48 |
| Rest of WashingtonWashington | $87.50 | $59.01 |
| King County, WAWashington | $96.27 | $63.08 |
| WisconsinWisconsin | $82.88 | $56.96 |
| West VirginiaWest Virginia | $79.60 | $56.09 |
| WyomingWyoming | $84.75 | $57.70 |
92610 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$78.88
$109.07
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $109.07 | 1 |
| AL | $79.56 | 1 |
| AR | $78.88 | 1 |
| AZ | $83.52 | 1 |
| CA | $89.37–$107.62 | 29 |
| CO | $87.92 | 1 |
| CT | $88.94 | 1 |
| DC | $94.53 | 1 |
| DE | $84.53 | 1 |
| FL | $83.20–$87.03 | 3 |
| GA | $80.47–$85.69 | 2 |
| GU | $90.33 | 1 |
| HI | $90.33 | 1 |
| IA | $81.14 | 1 |
| ID | $81.38 | 1 |
| IL | $81.45–$86.51 | 4 |
| IN | $81.67 | 1 |
| KS | $80.73 | 1 |
| KY | $80.25 | 1 |
| LA | $80.10–$82.46 | 2 |
| MA | $87.64–$94.55 | 2 |
| MD | $85.74–$94.53 | 3 |
| ME | $81.43–$84.35 | 2 |
| MI | $81.31–$83.63 | 2 |
| MN | $85.79 | 1 |
| MO | $79.16–$82.87 | 3 |
| MS | $79.04 | 1 |
| MT | $84.84 | 1 |
| NC | $81.97 | 1 |
| ND | $84.64 | 1 |
| NE | $81.47 | 1 |
| NH | $86.48 | 1 |
| NJ | $90.39–$94.17 | 2 |
| NM | $81.50 | 1 |
| NV | $84.82 | 1 |
| NY | $82.68–$95.67 | 5 |
| OH | $81.27 | 1 |
| OK | $80.37 | 1 |
| OR | $84.57–$90.01 | 2 |
| PA | $81.45–$87.37 | 2 |
| PR | $85.29 | 1 |
| RI | $86.98 | 1 |
| SC | $81.67 | 1 |
| SD | $84.62 | 1 |
| TN | $80.95 | 1 |
| TX | $81.12–$87.27 | 8 |
| UT | $82.34 | 1 |
| VA | $84.04–$94.53 | 2 |
| VI | $85.29 | 1 |
| VT | $84.26 | 1 |
| WA | $87.50–$96.27 | 2 |
| WI | $82.88 | 1 |
| WV | $79.60 | 1 |
| WY | $84.75 | 1 |
How the 92610 rate is calculated
Each of 92610’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 92610
RVUs × geographic indexes × conversion factor
Work1.30
1.30 RVUs× 1.000 GPCI
Practice expense1.23
1.23 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
2.5400
Conversion factor
$33.4009
Medicare rate
$84.84
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,868
- Code
- 92610
- Physician work
- 1.30
- Practice expense
- 1.23
- Malpractice
- 0.01
GPCI2026.csv
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.30 | × 1.000 | 1.3000 |
| Practice expense | 1.23 | × 1.000 | 1.2300 |
| Malpractice | 0.01 | × 0.406 | 0.0041 |
| Total RVUs | 2.5341 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$84.64
Office: (1.3 × 1 + 1.23 × 1 + 0.01 × 0.406) × $33.4009 = $84.64
Facility: (1.3 × 1 + 0.42 × 1 + 0.01 × 0.406) × $33.4009 = $57.59
Payment rules and modifiers for 92610
The CMS indicators that decide how 92610 is paid alongside other services.
CMS payment indicators · 92610
Swallow evaluation, clinical, noninstrumental assessment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 7 | Therapy service: the split doesn’t apply. |
What modifiers do to the payment
Modifier CQ · payment effect
With and without the modifier
92610 without CQ · national office
$84.84
Swallow evaluation, clinical, noninstrumental assessment
92610-CQ · Allowed amount unchanged
$84.84
Medicare cuts its own payment by 15% after the patient’s 20% coinsurance; the allowed amount stays the same. On $100 allowed: $20 coinsurance, then Medicare pays $68 instead of $80.
How 92610 has changed in North Dakota
92610 · Office / nonfacility
$84.64
Effective 2026-10-01
The base rate is $1.81 higher than on 2025-10-01, moving from $82.83 to $84.64 (2.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$82.83changed to$84.64
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 1.24 changed to 1.23
- Malpractice RVU 0.04 changed to 0.01
- Malpractice GPCI 0.517 changed to 0.406
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$84.57changed to$82.83
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.22 changed to 1.24
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$83.19changed to$84.57
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$85.02changed to$83.19
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.19 changed to 1.22
- Malpractice GPCI 0.474 changed to 0.517
January 1, 2023
RVU23A
$85.83changed to$85.02
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.15 changed to 1.19
- Malpractice RVU 0.07 changed to 0.04
- Malpractice GPCI 0.431 changed to 0.474
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$85.54changed to$85.83
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.13 changed to 1.15
- Malpractice RVU 0.05 changed to 0.07
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$88.03changed to$85.54
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.11 changed to 1.13
- Malpractice RVU 0.06 changed to 0.05
- Malpractice GPCI 0.485 changed to 0.431
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$87.30changed to$88.03
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.09 changed to 1.11
- Malpractice GPCI 0.540 changed to 0.485
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$86.49changed to$87.30
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.07 changed to 1.09
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$86.23changed to$86.49
- Conversion factor 35.8887 changed to 35.9996
- Malpractice GPCI 0.547 changed to 0.540
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$85.33changed to$86.23
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.05 changed to 1.07
- Malpractice GPCI 0.554 changed to 0.547
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$85.08changed to$85.33
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.04 changed to 1.05
- Malpractice RVU 0.05 changed to 0.06
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$84.66changed to$85.08
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$84.81changed to$84.66
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.03 changed to 1.04
- Malpractice RVU 0.07 changed to 0.05
- Malpractice GPCI 0.536 changed to 0.554
Held through RVU15B.
January 1, 2014
RVU14A
$76.76changed to$84.81
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.92 changed to 1.03
- Malpractice GPCI 0.517 changed to 0.536
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $76.76
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $84.64 | $57.59 | RVU26D |
| 2026-07-01 | $84.64 | $57.59 | RVU26C |
| 2026-04-01 | $84.64 | $57.59 | RVU26B |
| 2026-01-01 | $84.64 | $57.59 | RVU26A |
| 2025-10-01 | $82.83 | $68.27 | RVU25D |
| 2025-07-01 | $82.83 | $68.27 | RVU25C |
| 2025-04-01 | $82.83 | $68.27 | RVU25B |
| 2025-01-01 | $82.83 | $68.27 | RVU25A |
| 2024-10-01 | $84.57 | $69.26 | RVU24D |
| 2024-07-01 | $84.57 | $69.26 | RVU24C |
| 2024-04-01 | $84.57 | $69.26 | RVU24B |
| 2024-03-09 | $84.57 | $69.26 | RVU24AR |
| 2024-01-01 | $83.19 | $68.13 | RVU24A |
| 2023-10-01 | $85.02 | $69.77 | RVU23D |
| 2023-07-01 | $85.02 | $69.77 | RVU23C |
| 2023-04-01 | $85.02 | $69.77 | RVU23B |
| 2023-01-01 | $85.02 | $69.77 | RVU23A |
| 2022-10-01 | $85.83 | $69.91 | RVU22D |
| 2022-07-01 | $85.83 | $69.91 | RVU22C |
| 2022-04-01 | $85.83 | $69.91 | RVU22B |
| 2022-01-01 | $85.83 | $69.91 | RVU22A |
| 2021-10-01 | $85.54 | $69.84 | RVU21D |
| 2021-07-01 | $85.54 | $69.84 | RVU21C |
| 2021-04-01 | $85.54 | $69.84 | RVU21B |
| 2021-01-01 | $85.54 | $69.84 | RVU21A |
| 2020-10-01 | $88.03 | $73.59 | RVU20D |
| 2020-07-01 | $88.03 | $73.59 | RVU20C |
| 2020-04-01 | $88.03 | $73.59 | RVU20B |
| 2020-01-01 | $88.03 | $73.59 | RVU20A |
| 2019-10-01 | $87.30 | $73.25 | RVU19D |
| 2019-07-01 | $87.30 | $73.25 | RVU19C |
| 2019-04-01 | $87.30 | $73.25 | RVU19B |
| 2019-01-01 | $87.30 | $73.25 | RVU19A |
| 2018-10-01 | $86.49 | $73.17 | RVU18D |
| 2018-07-01 | $86.49 | $73.17 | RVU18C |
| 2018-04-01 | $86.49 | $73.17 | RVU18B |
| 2018-01-01 | $86.49 | $73.17 | RVU18AR1 |
| 2017-10-01 | $86.23 | $73.31 | RVU17D |
| 2017-07-01 | $86.23 | $73.31 | RVU17C |
| 2017-04-01 | $86.23 | $73.31 | RVU17B |
| 2017-01-01 | $86.23 | $73.31 | RVU17A |
| 2016-10-01 | $85.33 | $72.80 | RVU16D |
| 2016-07-01 | $85.33 | $72.80 | RVU16C |
| 2016-04-01 | $85.33 | $72.80 | RVU16B |
| 2016-01-01 | $85.33 | $72.80 | RVU16A |
| 2015-10-01 | $85.08 | $72.86 | RVU15D |
| 2015-07-01 | $85.08 | $72.86 | RVU15C |
| 2015-04-01 | $84.66 | $72.50 | RVU15B |
| 2015-01-01 | $84.66 | $72.50 | RVU15A |
| 2014-10-01 | $84.81 | $72.63 | RVU14D |
| 2014-07-01 | $84.81 | $72.63 | RVU14C |
| 2014-04-01 | $84.81 | $72.63 | RVU14B |
| 2014-01-01 | $84.81 | $72.63 | RVU14A |
| 2013-10-01 | $76.76 | $65.87 | RVU13D |
| 2013-07-01 | $76.76 | $65.87 | RVU13C |
| 2013-04-01 | $76.76 | $65.87 | RVU13B |
| 2013-01-01 | $76.76 | $65.87 | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
92610 billing questions
How does 92610 differ from 92611?
92610 describes a clinical swallowing evaluation. 92611 describes swallowing assessment using motion fluoroscopy, so report 92611 when that instrumental service is performed.
When is 92612 more appropriate than 92610?
Use 92612 for a flexible endoscopic evaluation of swallowing with video or cine recording. A clinical assessment without that endoscopic procedure is described by 92610.
Does modifier 26 apply to 92610?
No. CMS identifies 92610 as a therapy service for which the professional component modifier does not apply.
What documentation supports 92610?
Document the clinical assessment performed, swallowing findings, interpretation, and recommendations or plan. Include relevant observed responses to food or liquids when those trials are part of the evaluation.
Does 92610 include fluoroscopy or endoscopy?
No. It describes a clinical evaluation; fluoroscopic or endoscopic assessment is a distinct instrumental service and should be represented by the applicable code when performed.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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