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

In Modesto, CA, Medicare pays $36.60 for 92613 in the office and $30.38 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 92613 nationwide

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.

How Modesto, CA compares for 92613

Across 109 of 109 payment localities, the office rate for 92613 runs from $33.49 in Arkansas to $47.40 in Alaska. Modesto, CA pays $36.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

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92613 rates by state

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

See 92613 in every payment locality

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.

Codes related to 92613

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

How 92613 has changed in Modesto, CA

Price 92613 for an earlier date of service

Where the Modesto, CA rate applies

Modesto, CA is a Medicare payment area, not a city. Our Census mapping connects it to 33 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

• Modesto
• Airport
• Bret Harte
• Bystrom
• Ceres
• Cowan
• Crows Landing
• Del Rio

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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