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

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 Puerto Rico, Medicare pays $201.44 for 92612 in the office and $54.21 when it’s performed in a hospital or facility.

$201.44Office (non-facility)
$54.21Hospital or facility
+0.9%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 Puerto Rico
  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 Puerto Rico 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. Puerto Rico pays $201.44. The RVUs are the same everywhere; the geographic indexes change the dollars.

92612 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$201.44
  2. Los Angeles, CA · California$229.54+$28.10
  3. Washington, DC area · District of Columbia$230.05+$28.61
  4. Miami, FL · Florida$208.71+$7.27
  5. Chicago, IL · Illinois$202.97+$1.53
  6. Manhattan, NY · New York$228.74+$27.30
  7. Alaska · Alaska$229.88+$28.44

Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.

Every other payment area

92612 in every other Medicare payment locality
Payment localityOfficeFacility
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

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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 92612 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.24× 1.0001.2400
Practice expense4.69× 1.0114.7416
Malpractice0.05× 0.9850.0493
Total RVUs6.0308
Conversion factor× 33.4009

Office rate, Puerto Rico$201.44

Office: (1.24 × 1 + 4.69 × 1.011 + 0.05 × 0.985) × $33.4009 = $201.44

Facility: (1.24 × 1 + 0.33 × 1.011 + 0.05 × 0.985) × $33.4009 = $54.21

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, Puerto Rico
Used instead
92610Swallow evaluation, clinical, noninstrumental assessmentClinical swallowing evaluation without the endoscopic examination represented by 92612.$85.29
92611Swallow study, fluoroscopic evaluationFluoroscopic swallowing assessment uses imaging rather than flexible endoscopy.$92.00
Same family
92616Swallow evaluation, laryngeal sensory testingEndoscopic swallowing evaluation that also includes laryngeal sensory testing.$230.58

How 92612 has changed in Puerto Rico

92612 · Office / nonfacility

$201.44

Effective 2026-10-01

The base rate is $6.98 higher than on 2025-10-01, moving from $194.46 to $201.44 (3.6%).

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

    $194.46changed to$201.44

    • 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 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $199.44changed to$194.46

    • 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

    $196.18changed to$199.44

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $200.46changed to$196.18

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.55 changed to 4.63
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $199.26changed to$200.46

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $199.82changed to$199.26

    • 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 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $202.54changed to$199.82

    • 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.

  8. January 1, 2021

    RVU21A

    $205.84changed to$202.54

    • 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 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $196.34changed to$205.84

    • 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
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $195.76changed to$196.34

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

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $169.08changed to$195.76

    • 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 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $145.26changed to$169.08

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.92 changed to 3.96
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $136.05changed to$145.26

    • 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.

  14. July 1, 2015

    RVU15C

    $135.37changed to$136.05

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $136.90changed to$135.37

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.66 changed to 3.54
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $134.92changed to$136.90

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.95 changed to 3.66
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $134.92

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$201.44$54.21RVU26D
2026-07-01$201.44$54.21RVU26C
2026-04-01$201.44$54.21RVU26B
2026-01-01$201.44$54.21RVU26A
2025-10-01$194.46$64.17RVU25D
2025-07-01$194.46$64.17RVU25C
2025-04-01$194.46$64.17RVU25B
2025-01-01$194.46$64.17RVU25A
2024-10-01$199.44$65.69RVU24D
2024-07-01$199.44$65.69RVU24C
2024-04-01$199.44$65.69RVU24B
2024-03-09$199.44$65.69RVU24AR
2024-01-01$196.18$64.62RVU24A
2023-10-01$200.46$66.90RVU23D
2023-07-01$199.26$66.76RVU23C
2023-04-01$199.26$66.76RVU23B
2023-01-01$199.26$66.76RVU23A
2022-10-01$199.82$67.96RVU22D
2022-07-01$199.82$67.96RVU22C
2022-04-01$199.82$67.96RVU22B
2022-01-01$199.82$67.96RVU22A
2021-10-01$202.54$67.13RVU21D
2021-07-01$202.54$67.13RVU21C
2021-04-01$202.54$67.13RVU21B
2021-01-01$202.54$67.13RVU21A
2020-10-01$205.84$70.51RVU20D
2020-07-01$205.84$70.51RVU20C
2020-04-01$205.84$70.51RVU20B
2020-01-01$205.84$70.51RVU20A
2019-10-01$196.34$70.04RVU19D
2019-07-01$196.34$70.04RVU19C
2019-04-01$196.34$70.04RVU19B
2019-01-01$196.34$70.04RVU19A
2018-10-01$195.76$69.60RVU18D
2018-07-01$195.76$69.60RVU18C
2018-04-01$195.76$69.60RVU18B
2018-01-01$195.76$69.60RVU18AR1
2017-10-01$169.08$65.85RVU17D
2017-07-01$169.08$65.85RVU17C
2017-04-01$169.08$65.85RVU17B
2017-01-01$169.08$65.85RVU17A
2016-10-01$145.26$61.20RVU16D
2016-07-01$145.26$61.20RVU16C
2016-04-01$145.26$61.20RVU16B
2016-01-01$145.26$61.20RVU16A
2015-10-01$136.05$61.32RVU15D
2015-07-01$136.05$61.32RVU15C
2015-04-01$135.37$61.01RVU15B
2015-01-01$135.37$61.01RVU15A
2014-10-01$136.90$61.05RVU14D
2014-07-01$136.90$61.05RVU14C
2014-04-01$136.90$61.05RVU14B
2014-01-01$136.90$61.05RVU14A
2013-10-01$134.92$57.87RVU13D
2013-07-01$134.92$57.87RVU13C
2013-04-01$134.92$57.87RVU13B
2013-01-01$134.92$57.87RVU13AR

Price 92612 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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 Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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