CPT code 92613: Swallow study, interpretation and report only2026 Medicare rate & RVUs

Medicare pays $35.74 for 92613 nationally in the office and $30.06 in a hospital or facility. Local office rates run $33.49–$47.40.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 92613 covers

This service covers interpreting and documenting findings from a flexible endoscopic evaluation of swallowing recorded by cine or video. A speech-language pathologist or physician may assess findings such as pharyngeal residue, penetration or aspiration, and the response to tested consistencies or compensatory strategies. FEES is commonly used for patients with dysphagia when clinicians need to observe swallowing through the pharynx and larynx, including at the bedside or in an outpatient setting.

Report 92613 for the interpretation and report, rather than for performing or recording the endoscopic examination itself. The report should describe the relevant findings and their clinical significance, including how they inform swallowing recommendations when assessed. Code 92612 identifies the recorded endoscopic swallowing examination and is the closely paired service; the documentation should make clear which work was performed and reported. Distinguish this interpretation from a clinical swallowing evaluation without endoscopy and from a fluoroscopic swallowing study.

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.

Where 92613 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

92613 rates by state

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

How the 92613 rate is calculated

Each of 92613’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.

Payment rules and modifiers for 92613

92613 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.

92613 compared with similar codes

How to choose

92612Swallowing endoscopyVideo-recorded study

92612 identifies the recorded flexible endoscopic swallowing examination; 92613 is for interpreting and reporting that recorded study.

92610Swallow evaluationClinical, noninstrumental assessment

Use 92610 for a clinical evaluation of swallowing function without the recorded endoscopic examination associated with 92613.

92611Swallow studyFluoroscopic evaluation

92611 describes a fluoroscopic swallowing evaluation. 92613 concerns interpretation of a recorded endoscopic swallowing study.

92617FEES interpretationWith sensory testing

92617 is the interpretation-and-report code when the endoscopic swallowing study includes laryngeal sensory testing; 92613 is for the swallowing study without that combined testing.

Codes related to 92613

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

Open CMS sourceHow we calculate rates