CPT code 92612: Swallowing endoscopy, video-recorded study2026 Medicare rate & RVUs in Iowa
A clinician uses flexible endoscopy with video recording to assess swallowing, including pharyngeal function and signs of penetration or aspiration.
In Iowa, Medicare pays $185.42 for 92612 in the office and $52.17 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 92612 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 92612 covers
This service is a flexible endoscopic examination of swallowing, commonly called FEES. A clinician passes a flexible scope through the nose to view the pharynx while the patient swallows test material; the recorded examination helps assess residue, airway invasion, and swallowing-related anatomy. Speech-language pathologists and physicians commonly perform it in outpatient clinics, hospitals, or other settings equipped for endoscopic swallowing assessment.
Report 92612 for performing the video-recorded endoscopic study, rather than for a clinical swallowing assessment without endoscopy or a fluoroscopic study. The record should support the endoscopic procedure and describe the swallowing trials and findings. If only interpretation and a report are provided, 92613 describes that service. CMS assigns separate office and facility practice-expense values, so the fee-schedule valuation reflects the setting where the service is furnished.
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 Iowa compares for 92612
Across 109 of 109 payment localities, the office rate for 92612 runs from $176.84 in Arkansas to $272.76 in San Benito County, CA. Iowa pays $185.42. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Iowa · this page$185.42
- Los Angeles, CA · California$229.54+$44.12
- Washington, DC area · District of Columbia$230.05+$44.63
- Miami, FL · Florida$208.71+$23.29
- Chicago, IL · Illinois$202.97+$17.55
- Manhattan, NY · New York$228.74+$43.32
- Alaska · Alaska$229.88+$44.46
Other areas in Iowa first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $179.43 | $52.01 |
| ArkansasArkansas | $176.84 | $51.75 |
| ArizonaArizona | $194.64 | $53.53 |
| Bakersfield, CACalifornia | $214.91 | $55.30 |
| Chico, CACalifornia | $214.70 | $55.10 |
| El Centro, CACalifornia | $214.71 | $55.11 |
| Fresno, CACalifornia | $214.70 | $55.10 |
| Hanford, CACalifornia | $214.70 | $55.10 |
| Madera, CACalifornia | $214.70 | $55.10 |
| Merced, CACalifornia | $214.70 | $55.10 |
| Modesto, CACalifornia | $214.70 | $55.10 |
| Napa, CACalifornia | $251.34 | $59.40 |
| Oxnard, CACalifornia | $228.78 | $56.65 |
| Redding, CACalifornia | $214.70 | $55.10 |
| Rest of CaliforniaCalifornia | $214.70 | $55.10 |
| Riverside, CACalifornia | $215.28 | $55.67 |
| Sacramento, CACalifornia | $225.99 | $56.62 |
| Salinas, CACalifornia | $225.15 | $56.37 |
| San Diego, CACalifornia | $230.92 | $56.75 |
| Marin County, CACalifornia | $267.00 | $61.66 |
| San Francisco, CACalifornia | $266.94 | $61.60 |
| San Benito County, CACalifornia | $272.76 | $62.76 |
| Santa Clara County, CACalifornia | $272.53 | $62.53 |
| San Luis Obispo, CACalifornia | $221.44 | $55.57 |
| Santa Cruz, CACalifornia | $233.51 | $56.57 |
| Santa Maria, CACalifornia | $226.13 | $56.32 |
| Santa Rosa, CACalifornia | $235.92 | $57.09 |
| Stockton, CACalifornia | $214.70 | $55.10 |
| Vallejo, CACalifornia | $251.26 | $59.32 |
| Visalia, CACalifornia | $214.70 | $55.10 |
| Yuba City, CACalifornia | $214.70 | $55.10 |
| ColoradoColorado | $209.89 | $54.95 |
| ConnecticutConnecticut | $212.98 | $56.14 |
| DelawareDelaware | $197.90 | $54.02 |
| Fort Lauderdale, FLFlorida | $203.12 | $55.60 |
| Rest of FloridaFlorida | $193.68 | $54.46 |
| Atlanta, GAGeorgia | $202.70 | $54.75 |
| Rest of GeorgiaGeorgia | $183.14 | $53.24 |
| Hawaii, Guam, HIHawaii | $220.50 | $54.92 |
| IdahoIdaho | $186.33 | $52.35 |
| East St. Louis, ILIllinois | $188.90 | $54.92 |
| Rest of IllinoisIllinois | $187.05 | $54.09 |
| Suburban Chicago, ILIllinois | $205.55 | $55.99 |
| IndianaIndiana | $187.44 | $52.45 |
| KansasKansas | $183.87 | $52.22 |
| KentuckyKentucky | $182.21 | $52.74 |
| New Orleans, LALouisiana | $190.72 | $53.69 |
| Rest of LouisianaLouisiana | $181.65 | $52.77 |
| Metropolitan Boston, MAMassachusetts | $231.64 | $57.76 |
| Rest of MassachusettsMassachusetts | $208.36 | $55.02 |
| Baltimore area, MDMaryland | $212.23 | $55.97 |
| Rest of MarylandMaryland | $201.89 | $54.52 |
| Rest of MaineMaine | $186.57 | $52.60 |
| Southern Maine, MEMaine | $197.71 | $53.39 |
| Detroit, MIMichigan | $195.40 | $54.87 |
| Rest of MichiganMichigan | $186.32 | $53.37 |
| MinnesotaMinnesota | $203.10 | $53.25 |
| Metropolitan Kansas City, MOMissouri | $190.14 | $53.40 |
| Metropolitan St. Louis, MOMissouri | $192.22 | $53.58 |
| Rest of MissouriMissouri | $178.08 | $52.54 |
| MississippiMississippi | $177.53 | $52.14 |
| MontanaMontana | $199.73 | $54.11 |
| North CarolinaNorth Carolina | $188.64 | $52.77 |
| North DakotaNorth Dakota | $198.75 | $53.12 |
| NebraskaNebraska | $186.64 | $52.22 |
| New HampshireNew Hampshire | $205.95 | $54.35 |
| Northern New JerseyNew Jersey | $227.52 | $58.60 |
| Rest of New JerseyNew Jersey | $215.97 | $56.94 |
| New MexicoNew Mexico | $187.07 | $53.53 |
| NevadaNevada | $199.62 | $53.84 |
| NYC suburbs and Long Island, NYNew York | $233.43 | $60.27 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $216.83 | $57.37 |
| Queens, NYNew York | $231.64 | $59.50 |
| Rest of New YorkNew York | $191.41 | $53.06 |
| OhioOhio | $186.12 | $53.16 |
| OklahomaOklahoma | $182.60 | $52.56 |
| Portland, OROregon | $217.36 | $55.57 |
| Rest of OregonOregon | $198.61 | $53.57 |
| Metropolitan Philadelphia, PAPennsylvania | $207.23 | $55.63 |
| Rest of PennsylvaniaPennsylvania | $186.80 | $53.11 |
| Puerto RicoPuerto Rico | $201.44 | $54.21 |
| Rhode IslandRhode Island | $205.51 | $55.08 |
| South CarolinaSouth Carolina | $187.58 | $53.02 |
| South DakotaSouth Dakota | $198.63 | $53.00 |
| TennesseeTennessee | $184.71 | $52.33 |
| Austin, TXTexas | $208.72 | $54.64 |
| Beaumont, TXTexas | $185.52 | $53.00 |
| Brazoria, TXTexas | $198.29 | $53.97 |
| Dallas, TXTexas | $199.25 | $54.20 |
| Fort Worth, TXTexas | $197.70 | $54.11 |
| Galveston, TXTexas | $198.68 | $54.08 |
| Houston, TXTexas | $199.60 | $54.99 |
| Rest of TexasTexas | $191.59 | $53.39 |
| UtahUtah | $190.17 | $53.28 |
| VirginiaVirginia | $196.58 | $53.43 |
| Virgin Islands, VIUnited States Virgin Islands | $201.44 | $54.21 |
| VermontVermont | $197.35 | $53.17 |
| Rest of WashingtonWashington | $208.18 | $54.83 |
| King County, WAWashington | $237.06 | $58.38 |
| WisconsinWisconsin | $192.00 | $52.49 |
| West VirginiaWest Virginia | $179.94 | $53.39 |
| WyomingWyoming | $199.30 | $53.68 |
92612 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.
$176.84
$243.73
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 | $229.88 | 1 |
| AL | $179.43 | 1 |
| AR | $176.84 | 1 |
| AZ | $194.64 | 1 |
| CA | $214.70–$272.76 | 29 |
| CO | $209.89 | 1 |
| CT | $212.98 | 1 |
| DC | $230.05 | 1 |
| DE | $197.90 | 1 |
| FL | $193.68–$208.71 | 3 |
| GA | $183.14–$202.70 | 2 |
| GU | $220.50 | 1 |
| HI | $220.50 | 1 |
| IA | $185.42 | 1 |
| ID | $186.33 | 1 |
| IL | $187.05–$205.55 | 4 |
| IN | $187.44 | 1 |
| KS | $183.87 | 1 |
| KY | $182.21 | 1 |
| LA | $181.65–$190.72 | 2 |
| MA | $208.36–$231.64 | 2 |
| MD | $201.89–$230.05 | 3 |
| ME | $186.57–$197.71 | 2 |
| MI | $186.32–$195.40 | 2 |
| MN | $203.10 | 1 |
| MO | $178.08–$192.22 | 3 |
| MS | $177.53 | 1 |
| MT | $199.73 | 1 |
| NC | $188.64 | 1 |
| ND | $198.75 | 1 |
| NE | $186.64 | 1 |
| NH | $205.95 | 1 |
| NJ | $215.97–$227.52 | 2 |
| NM | $187.07 | 1 |
| NV | $199.62 | 1 |
| NY | $191.41–$233.43 | 5 |
| OH | $186.12 | 1 |
| OK | $182.60 | 1 |
| OR | $198.61–$217.36 | 2 |
| PA | $186.80–$207.23 | 2 |
| PR | $201.44 | 1 |
| RI | $205.51 | 1 |
| SC | $187.58 | 1 |
| SD | $198.63 | 1 |
| TN | $184.71 | 1 |
| TX | $185.52–$208.72 | 8 |
| UT | $190.17 | 1 |
| VA | $196.58–$230.05 | 2 |
| VI | $201.44 | 1 |
| VT | $197.35 | 1 |
| WA | $208.18–$237.06 | 2 |
| WI | $192.00 | 1 |
| WV | $179.94 | 1 |
| WY | $199.30 | 1 |
How the 92612 rate is calculated
Each of 92612’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 · 92612
RVUs × geographic indexes × conversion factor
Work1.24
1.24 RVUs× 1.000 GPCI
Practice expense4.69
4.69 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
5.9800
Conversion factor
$33.4009
Medicare rate
$199.74
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Iowa inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,870
- Code
- 92612
- Physician work
- 1.24
- Practice expense
- 4.69
- Malpractice
- 0.05
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.24 | × 1.000 | 1.2400 |
| Practice expense | 4.69 | × 0.915 | 4.2914 |
| Malpractice | 0.05 | × 0.397 | 0.0199 |
| Total RVUs | 5.5512 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Iowa$185.42
Office: (1.24 × 1 + 4.69 × 0.915 + 0.05 × 0.397) × $33.4009 = $185.42
Facility: (1.24 × 1 + 0.33 × 0.915 + 0.05 × 0.397) × $33.4009 = $52.17
Payment rules and modifiers for 92612
92612 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 92612
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$199.74
- Non-facility (office)
- $199.74
- Facility
- $54.11
Higher because the practice carries its own overhead.
How 92612 has changed in Iowa
92612 · Office / nonfacility
$185.42
Effective 2026-10-01
The base rate is $5.98 higher than on 2025-10-01, moving from $179.44 to $185.42 (3.3%).
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
$179.44changed to$185.42
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.27 changed to 1.24
- Practice expense RVU 4.66 changed to 4.69
- Practice expense GPCI 0.913 changed to 0.915
- Malpractice GPCI 0.457 changed to 0.397
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$183.90changed to$179.44
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 4.63 changed to 4.66
- Malpractice RVU 0.06 changed to 0.05
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$180.90changed to$183.90
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$184.24changed to$180.90
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 4.55 changed to 4.63
- Practice expense GPCI 0.910 changed to 0.913
- Malpractice GPCI 0.441 changed to 0.457
January 1, 2023
RVU23A
$182.92changed to$184.24
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 4.39 changed to 4.55
- Malpractice RVU 0.08 changed to 0.06
- Practice expense GPCI 0.907 changed to 0.910
- Malpractice GPCI 0.425 changed to 0.441
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$185.72changed to$182.92
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 4.44 changed to 4.39
- Malpractice RVU 0.06 changed to 0.08
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$188.47changed to$185.72
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 4.32 changed to 4.44
- Malpractice RVU 0.08 changed to 0.06
- Malpractice GPCI 0.424 changed to 0.425
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$180.20changed to$188.47
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 4.08 changed to 4.32
- Malpractice RVU 0.07 changed to 0.08
- Malpractice GPCI 0.423 changed to 0.424
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$179.68changed to$180.20
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 4.07 changed to 4.08
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$175.09changed to$179.68
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 3.96 changed to 4.07
- Malpractice RVU 0.08 changed to 0.07
- Practice expense GPCI 0.902 changed to 0.907
- Malpractice GPCI 0.458 changed to 0.423
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$172.64changed to$175.09
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 3.92 changed to 3.96
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 0.493 changed to 0.458
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$160.85changed to$172.64
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 3.54 changed to 3.92
- Malpractice RVU 0.07 changed to 0.08
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$160.05changed to$160.85
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$163.64changed to$160.05
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 3.66 changed to 3.54
- Practice expense GPCI 0.892 changed to 0.896
- Malpractice GPCI 0.475 changed to 0.493
Held through RVU15B.
January 1, 2014
RVU14A
$163.50changed to$163.64
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 3.95 changed to 3.66
- Practice expense GPCI 0.887 changed to 0.892
- Malpractice GPCI 0.456 changed to 0.475
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $163.50
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $185.42 | $52.17 | RVU26D |
| 2026-07-01 | $185.42 | $52.17 | RVU26C |
| 2026-04-01 | $185.42 | $52.17 | RVU26B |
| 2026-01-01 | $185.42 | $52.17 | RVU26A |
| 2025-10-01 | $179.44 | $61.31 | RVU25D |
| 2025-07-01 | $179.44 | $61.31 | RVU25C |
| 2025-04-01 | $179.44 | $61.31 | RVU25B |
| 2025-01-01 | $179.44 | $61.31 | RVU25A |
| 2024-10-01 | $183.90 | $62.64 | RVU24D |
| 2024-07-01 | $183.90 | $62.64 | RVU24C |
| 2024-04-01 | $183.90 | $62.64 | RVU24B |
| 2024-03-09 | $183.90 | $62.64 | RVU24AR |
| 2024-01-01 | $180.90 | $61.62 | RVU24A |
| 2023-10-01 | $184.24 | $63.67 | RVU23D |
| 2023-07-01 | $184.24 | $63.67 | RVU23C |
| 2023-04-01 | $184.24 | $63.67 | RVU23B |
| 2023-01-01 | $184.24 | $63.67 | RVU23A |
| 2022-10-01 | $182.92 | $64.27 | RVU22D |
| 2022-07-01 | $182.92 | $64.27 | RVU22C |
| 2022-04-01 | $182.92 | $64.27 | RVU22B |
| 2022-01-01 | $182.92 | $64.27 | RVU22A |
| 2021-10-01 | $185.72 | $63.88 | RVU21D |
| 2021-07-01 | $185.72 | $63.88 | RVU21C |
| 2021-04-01 | $185.72 | $63.88 | RVU21B |
| 2021-01-01 | $185.72 | $63.88 | RVU21A |
| 2020-10-01 | $188.47 | $66.70 | RVU20D |
| 2020-07-01 | $188.47 | $66.70 | RVU20C |
| 2020-04-01 | $188.47 | $66.70 | RVU20B |
| 2020-01-01 | $188.47 | $66.70 | RVU20A |
| 2019-10-01 | $180.20 | $66.45 | RVU19D |
| 2019-07-01 | $180.20 | $66.45 | RVU19C |
| 2019-04-01 | $180.20 | $66.45 | RVU19B |
| 2019-01-01 | $180.20 | $66.45 | RVU19A |
| 2018-10-01 | $179.68 | $66.05 | RVU18D |
| 2018-07-01 | $179.68 | $66.05 | RVU18C |
| 2018-04-01 | $179.68 | $66.05 | RVU18B |
| 2018-01-01 | $179.68 | $66.05 | RVU18AR1 |
| 2017-10-01 | $175.09 | $66.32 | RVU17D |
| 2017-07-01 | $175.09 | $66.32 | RVU17C |
| 2017-04-01 | $175.09 | $66.32 | RVU17B |
| 2017-01-01 | $175.09 | $66.32 | RVU17A |
| 2016-10-01 | $172.64 | $65.81 | RVU16D |
| 2016-07-01 | $172.64 | $65.81 | RVU16C |
| 2016-04-01 | $172.64 | $65.81 | RVU16B |
| 2016-01-01 | $172.64 | $65.81 | RVU16A |
| 2015-10-01 | $160.85 | $65.87 | RVU15D |
| 2015-07-01 | $160.85 | $65.87 | RVU15C |
| 2015-04-01 | $160.05 | $65.54 | RVU15B |
| 2015-01-01 | $160.05 | $65.54 | RVU15A |
| 2014-10-01 | $163.64 | $65.86 | RVU14D |
| 2014-07-01 | $163.64 | $65.86 | RVU14C |
| 2014-04-01 | $163.64 | $65.86 | RVU14B |
| 2014-01-01 | $163.64 | $65.86 | RVU14A |
| 2013-10-01 | $163.50 | $62.70 | RVU13D |
| 2013-07-01 | $163.50 | $62.70 | RVU13C |
| 2013-04-01 | $163.50 | $62.70 | RVU13B |
| 2013-01-01 | $163.50 | $62.70 | RVU13AR |
Where the Iowa rate applies
Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.
- Ackley
- Ackworth
- Adair
- Adel
- Afton
- Agency
- Ainsworth
- Akron
92612 billing questions
When should 92612 be chosen over 92610?
Use 92612 when the swallowing assessment includes flexible endoscopy with video recording. A clinical swallowing evaluation without endoscopic visualization is represented by 92610.
How does 92612 differ from 92611?
92612 assesses swallowing through a flexible endoscope passed through the nose. 92611 is a fluoroscopic swallowing study, typically performed with radiographic imaging and contrast material.
Can 92612 and 92613 both be reported?
92612 represents performance of the video-recorded endoscopic study; 92613 represents interpretation and report only. Report 92613 when that interpretation-and-report service is furnished, not automatically as an add-on to 92612.
Does 92612 include sensory testing?
No. When the endoscopic swallowing examination includes laryngeal sensory testing, consider 92616 rather than 92612 alone.
Is 92612 reported by time or units?
The code describes the video-recorded endoscopic swallowing study, not a timed service. Document the examination and swallowing trials 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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