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CPT code 92612: Swallowing endoscopy, video-recorded study2026 Medicare rate & RVUs in Queens, NY

A clinician uses flexible endoscopy with video recording to assess swallowing, including pharyngeal function and signs of penetration or aspiration.

CMS RVU26DEffective Oct 1, 2026One payment locality8.7K Medicare services in 2024

In Queens, NY, Medicare pays $231.64 for 92612 in the office and $59.50 when it’s performed in a hospital or facility.

$231.64Office (non-facility)
$59.50Hospital or facility
+16.0%vs the national office rate ($199.74)

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.

We’ll open 92612 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 92612 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 Queens, NY 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. Queens, NY pays $231.64. The RVUs are the same everywhere; the geographic indexes change the dollars.

92612 in Queens, NY vs other payment areas
  1. Queens, NY · this page$231.64
  2. Manhattan, NY · New York$228.74−$2.90
  3. NYC suburbs and Long Island, NY · New York$233.43+$1.79
  4. Poughkeepsie and northern NYC suburbs, NY · New York$216.83−$14.81
  5. Rest of New York · New York$191.41−$40.23
  6. Los Angeles, CA · California$229.54−$2.10
  7. Washington, DC area · District of Columbia$230.05−$1.59

Other areas in New York first, then benchmark localities. Bars start at $0.

Every other payment area

92612 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$208.71$57.11
Chicago, ILIllinois$202.97$56.62
AlaskaAlaska$229.88$74.78
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

92612 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
92612 office rate range by state
State / territoryOffice rate rangeLocalities
AK$229.881
AL$179.431
AR$176.841
AZ$194.641
CA$214.70–$272.7629
CO$209.891
CT$212.981
DC$230.051
DE$197.901
FL$193.68–$208.713
GA$183.14–$202.702
GU$220.501
HI$220.501
IA$185.421
ID$186.331
IL$187.05–$205.554
IN$187.441
KS$183.871
KY$182.211
LA$181.65–$190.722
MA$208.36–$231.642
MD$201.89–$230.053
ME$186.57–$197.712
MI$186.32–$195.402
MN$203.101
MO$178.08–$192.223
MS$177.531
MT$199.731
NC$188.641
ND$198.751
NE$186.641
NH$205.951
NJ$215.97–$227.522
NM$187.071
NV$199.621
NY$191.41–$233.435
OH$186.121
OK$182.601
OR$198.61–$217.362
PA$186.80–$207.232
PR$201.441
RI$205.511
SC$187.581
SD$198.631
TN$184.711
TX$185.52–$208.728
UT$190.171
VA$196.58–$230.052
VI$201.441
VT$197.351
WA$208.18–$237.062
WI$192.001
WV$179.941
WY$199.301

See 92612 in every payment locality

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

Office or facility?

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 Queens, NY 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

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 92612 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work1.24× 1.0641.3194
Practice expense4.69× 1.1825.5436
Malpractice0.05× 1.4420.0721
Total RVUs6.9350
Conversion factor× 33.4009

Office rate, Queens, NY$231.64

Office: (1.24 × 1.064 + 4.69 × 1.182 + 0.05 × 1.442) × $33.4009 = $231.64

Facility: (1.24 × 1.064 + 0.33 × 1.182 + 0.05 × 1.442) × $33.4009 = $59.50

Open 92612 in the RVU calculator

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.

Codes related to 92612

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 92612
CodeHow it relatesOffice range, Queens, NY
Used instead
92610Swallow evaluation, clinical, noninstrumental assessmentClinical swallowing evaluation without the endoscopic examination represented by 92612.$95.24
92611Swallow study, fluoroscopic evaluationFluoroscopic swallowing assessment uses imaging rather than flexible endoscopy.$103.45
Same family
92616Swallow evaluation, laryngeal sensory testingEndoscopic swallowing evaluation that also includes laryngeal sensory testing.$263.83

How 92612 has changed in Queens, NY

92612 · Office / nonfacility

$231.64

Effective 2026-10-01

The base rate is $5.40 higher than on 2025-10-01, moving from $226.24 to $231.64 (2.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $226.24changed to$231.64

    • 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
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $232.12changed to$226.24

    • 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.

  3. March 9, 2024

    RVU24AR

    $228.33changed to$232.12

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $236.73changed to$228.33

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.55 changed to 4.63
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $240.34changed to$236.73

    • 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
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $242.62changed to$240.34

    • 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.

  7. January 1, 2021

    RVU21A

    $244.48changed to$242.62

    • 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
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $229.95changed to$244.48

    • 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
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $229.26changed to$229.95

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.07 changed to 4.08

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $224.67changed to$229.26

    • 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
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $222.37changed to$224.67

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.92 changed to 3.96
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $206.01changed to$222.37

    • 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.

  13. July 1, 2015

    RVU15C

    $204.99changed to$206.01

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $209.63changed to$204.99

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.66 changed to 3.54
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $210.04changed to$209.63

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.95 changed to 3.66
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $210.04

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$231.64$59.50RVU26D
2026-07-01$231.64$59.50RVU26C
2026-04-01$231.64$59.50RVU26B
2026-01-01$231.64$59.50RVU26A
2025-10-01$226.24$71.63RVU25D
2025-07-01$226.24$71.63RVU25C
2025-04-01$226.24$71.63RVU25B
2025-01-01$226.24$71.63RVU25A
2024-10-01$232.12$73.40RVU24D
2024-07-01$232.12$73.40RVU24C
2024-04-01$232.12$73.40RVU24B
2024-03-09$232.12$73.40RVU24AR
2024-01-01$228.33$72.20RVU24A
2023-10-01$236.73$76.14RVU23D
2023-07-01$236.73$76.14RVU23C
2023-04-01$236.73$76.14RVU23B
2023-01-01$236.73$76.14RVU23A
2022-10-01$240.34$79.70RVU22D
2022-07-01$240.34$79.70RVU22C
2022-04-01$240.34$79.70RVU22B
2022-01-01$240.34$79.70RVU22A
2021-10-01$242.62$77.65RVU21D
2021-07-01$242.62$77.65RVU21C
2021-04-01$242.62$77.65RVU21B
2021-01-01$242.62$77.65RVU21A
2020-10-01$244.48$81.50RVU20D
2020-07-01$244.48$81.50RVU20C
2020-04-01$244.48$81.50RVU20B
2020-01-01$244.48$81.50RVU20A
2019-10-01$229.95$79.45RVU19D
2019-07-01$229.95$79.45RVU19C
2019-04-01$229.95$79.45RVU19B
2019-01-01$229.95$79.45RVU19A
2018-10-01$229.26$78.93RVU18D
2018-07-01$229.26$78.93RVU18C
2018-04-01$229.26$78.93RVU18B
2018-01-01$229.26$78.93RVU18AR1
2017-10-01$224.67$79.96RVU17D
2017-07-01$224.67$79.96RVU17C
2017-04-01$224.67$79.96RVU17B
2017-01-01$224.67$79.96RVU17A
2016-10-01$222.37$79.41RVU16D
2016-07-01$222.37$79.41RVU16C
2016-04-01$222.37$79.41RVU16B
2016-01-01$222.37$79.41RVU16A
2015-10-01$206.01$78.91RVU15D
2015-07-01$206.01$78.91RVU15C
2015-04-01$204.99$78.52RVU15B
2015-01-01$204.99$78.52RVU15A
2014-10-01$209.63$78.42RVU14D
2014-07-01$209.63$78.42RVU14C
2014-04-01$209.63$78.42RVU14B
2014-01-01$209.63$78.42RVU14A
2013-10-01$210.04$74.24RVU13D
2013-07-01$210.04$74.24RVU13C
2013-04-01$210.04$74.24RVU13B
2013-01-01$210.04$74.24RVU13AR

Price 92612 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

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
RVUs for 92612PPRRVU2026_Oct_nonQPP.csv, line 11,870 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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