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

Reports the interpretation of a recorded endoscopic swallowing study, such as a FEES used to assess pharyngeal swallowing and airway protection.

CMS RVU26DEffective Oct 1, 2026One payment locality3.4K Medicare services in 2024

In Indiana, Medicare pays $34.22 for 92613 in the office and $28.96 when it’s performed in a hospital or facility.

$34.22Office (non-facility)
$28.96Hospital or facility
−4.3%vs the national office rate ($35.74)

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.

We’ll open 92613 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Indiana
  2. What 92613 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 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 Indiana 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. Indiana pays $34.22. The RVUs are the same everywhere; the geographic indexes change the dollars.

92613 in Indiana vs other payment areas
  1. Indiana · this page$34.22
  2. Los Angeles, CA · California$38.31+$4.09
  3. Washington, DC area · District of Columbia$39.16+$4.94
  4. Miami, FL · Florida$38.25+$4.03
  5. Chicago, IL · Illinois$37.69+$3.47
  6. Manhattan, NY · New York$39.84+$5.62
  7. Alaska · Alaska$47.40+$13.18

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

Every other payment area

92613 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$33.74$28.77
ArkansasArkansas$33.49$28.61
ArizonaArizona$35.19$29.69
Bakersfield, CACalifornia$36.74$30.52
Chico, CACalifornia$36.60$30.38
El Centro, CACalifornia$36.61$30.38
Fresno, CACalifornia$36.60$30.38
Hanford, CACalifornia$36.60$30.38

92613 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.

$33.49

$47.40

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
92613 office rate range by state
State / territoryOffice rate rangeLocalities
AK$47.401
AL$33.741
AR$33.491
AZ$35.191
CA$36.60–$42.6729
CO$36.451
CT$37.351
DC$39.161
DE$35.581
FL$35.91–$38.253
GA$34.77–$36.262
GU$36.731
HI$36.731
IA$33.971
ID$34.131
IL$35.50–$37.694
IN$34.221
KS$33.991
KY$34.361
LA$34.38–$35.252
MA$36.44–$38.742
MD$36.00–$39.163
ME$34.33–$35.142
MI$34.92–$36.262
MN$35.131
MO$34.14–$35.203
MS$33.811
MT$35.741
NC$34.501
ND$34.951
NE$34.031
NH$36.041
NJ$37.84–$39.102
NM$35.061
NV$35.531
NY$34.77–$40.515
OH$34.761
OK$34.231
OR$35.30–$37.032
PA$34.73–$36.882
PR$35.841
RI$36.411
SC$34.681
SD$34.851
TN$34.091
TX$34.62–$36.358
UT$34.921
VA$35.15–$39.162
VI$35.841
VT$34.971
WA$36.32–$39.222
WI$34.341
WV$34.831
WY$35.391

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.

How the rate is built · 92613

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.69

0.69 RVUs× 1.000 GPCI

Practice expense0.34

0.34 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

1.0700

Conversion factor

$33.4009

Medicare rate

$35.74

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Indiana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,871

Code
92613
Physician work
0.69
Practice expense
0.34
Malpractice
0.04

GPCI2026.csv

52

Locality
Indiana
Physician work
1.000
Practice expense
0.927
Malpractice
0.486
Office calculation for 92613 in Indiana
ComponentRVULocality factorAdjusted
Physician work0.69× 1.0000.6900
Practice expense0.34× 0.9270.3152
Malpractice0.04× 0.4860.0194
Total RVUs1.0246
Conversion factor× 33.4009

Office rate, Indiana$34.22

Office: (0.69 × 1 + 0.34 × 0.927 + 0.04 × 0.486) × $33.4009 = $34.22

Facility: (0.69 × 1 + 0.17 × 0.927 + 0.04 × 0.486) × $33.4009 = $28.96

Open 92613 in the RVU calculator

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.

Place of service · 92613

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$35.74

Non-facility (office)
$35.74
Facility
$30.06

Higher because the practice carries its own overhead.

How 92613 has changed in Indiana

92613 · Office / nonfacility

$34.22

Effective 2026-10-01

The base rate is $0.49 higher than on 2025-10-01, moving from $33.73 to $34.22 (1.5%).

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

    $33.73changed to$34.22

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.71 changed to 0.69
    • Practice expense GPCI 0.922 changed to 0.927
    • Malpractice GPCI 0.485 changed to 0.486

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $34.41changed to$33.73

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.33 changed to 0.34

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $33.85changed to$34.41

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $35.20changed to$33.85

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.34 changed to 0.33
    • Practice expense GPCI 0.911 changed to 0.922
    • Malpractice GPCI 0.475 changed to 0.485
  5. January 1, 2023

    RVU23A

    $35.18changed to$35.20

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.32 changed to 0.34
    • Practice expense GPCI 0.900 changed to 0.911
    • Malpractice GPCI 0.465 changed to 0.475

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $35.47changed to$35.18

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $36.89changed to$35.47

    • Conversion factor 36.0896 changed to 34.8931
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 0.910 changed to 0.900
    • Malpractice GPCI 0.422 changed to 0.465

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $36.73changed to$36.89

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.04 changed to 0.05
    • Practice expense GPCI 0.919 changed to 0.910
    • Malpractice GPCI 0.379 changed to 0.422

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $36.83changed to$36.73

    • Conversion factor 35.9996 changed to 36.0391
    • Malpractice RVU 0.05 changed to 0.04

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $37.12changed to$36.83

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 0.06 changed to 0.05
    • Practice expense GPCI 0.920 changed to 0.919
    • Malpractice GPCI 0.498 changed to 0.379

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $37.30changed to$37.12

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.921 changed to 0.920
    • Malpractice GPCI 0.617 changed to 0.498

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $37.43changed to$37.30

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $37.25changed to$37.43

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $36.88changed to$37.25

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.04 changed to 0.06
    • Practice expense GPCI 0.922 changed to 0.921
    • Malpractice GPCI 0.615 changed to 0.617

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $36.61changed to$36.88

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.37 changed to 0.32
    • Practice expense GPCI 0.923 changed to 0.922
    • Malpractice GPCI 0.613 changed to 0.615

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $36.61

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$34.22$28.96RVU26D
2026-07-01$34.22$28.96RVU26C
2026-04-01$34.22$28.96RVU26B
2026-01-01$34.22$28.96RVU26A
2025-10-01$33.73$33.73RVU25D
2025-07-01$33.73$33.73RVU25C
2025-04-01$33.73$33.73RVU25B
2025-01-01$33.73$33.73RVU25A
2024-10-01$34.41$34.41RVU24D
2024-07-01$34.41$34.41RVU24C
2024-04-01$34.41$34.41RVU24B
2024-03-09$34.41$34.41RVU24AR
2024-01-01$33.85$33.85RVU24A
2023-10-01$35.20$35.20RVU23D
2023-07-01$35.20$35.20RVU23C
2023-04-01$35.20$35.20RVU23B
2023-01-01$35.20$35.20RVU23A
2022-10-01$35.18$35.18RVU22D
2022-07-01$35.18$35.18RVU22C
2022-04-01$35.18$35.18RVU22B
2022-01-01$35.18$35.18RVU22A
2021-10-01$35.47$35.47RVU21D
2021-07-01$35.47$35.47RVU21C
2021-04-01$35.47$35.47RVU21B
2021-01-01$35.47$35.47RVU21A
2020-10-01$36.89$36.89RVU20D
2020-07-01$36.89$36.89RVU20C
2020-04-01$36.89$36.89RVU20B
2020-01-01$36.89$36.89RVU20A
2019-10-01$36.73$36.73RVU19D
2019-07-01$36.73$36.73RVU19C
2019-04-01$36.73$36.73RVU19B
2019-01-01$36.73$36.73RVU19A
2018-10-01$36.83$36.83RVU18D
2018-07-01$36.83$36.83RVU18C
2018-04-01$36.83$36.83RVU18B
2018-01-01$36.83$36.83RVU18AR1
2017-10-01$37.12$37.12RVU17D
2017-07-01$37.12$37.12RVU17C
2017-04-01$37.12$37.12RVU17B
2017-01-01$37.12$37.12RVU17A
2016-10-01$37.30$37.30RVU16D
2016-07-01$37.30$37.30RVU16C
2016-04-01$37.30$37.30RVU16B
2016-01-01$37.30$37.30RVU16A
2015-10-01$37.43$37.43RVU15D
2015-07-01$37.43$37.43RVU15C
2015-04-01$37.25$37.25RVU15B
2015-01-01$37.25$37.25RVU15A
2014-10-01$36.88$36.88RVU14D
2014-07-01$36.88$36.88RVU14C
2014-04-01$36.88$36.88RVU14B
2014-01-01$36.88$36.88RVU14A
2013-10-01$36.61$36.61RVU13D
2013-07-01$36.61$36.61RVU13C
2013-04-01$36.61$36.61RVU13B
2013-01-01$36.61$36.61RVU13AR

Price 92613 for an earlier date of service

Where the Indiana rate applies

Indiana is a Medicare payment area, not a city. Our Census mapping connects it to 974 cities and communities in Indiana. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Abington
  • Adams
  • Adams Lake
  • Advance
  • Akron
  • Alamo
  • Albany

Browse all communities in Indiana

92613 billing questions

Does 92613 include performing or recording the FEES?

No. It represents interpretation and reporting of the recorded endoscopic swallowing study; 92612 identifies the recorded examination.

Can 92613 be reported with 92612?

Yes, when the recorded examination and its interpretation and report are both performed and documented for the study.

What should the report document?

Document the endoscopic swallowing findings and their interpretation, such as residue, airway invasion, and responses to tested consistencies or strategies when assessed.

How is 92613 different from 92617?

92613 reports interpretation of an endoscopic swallowing study. 92617 is the interpretation-and-report code for an endoscopic swallowing study that includes laryngeal sensory testing.

Is 92613 selected by elapsed time?

No. The code describes interpretation and reporting of the recorded study, not a time-based service.

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 92613PPRRVU2026_Oct_nonQPP.csv, line 11,871 (RVU26D)
Geographic factors for IndianaGPCI2026.csv, line 52 (RVU26D)

Open CMS sourceHow we calculate rates

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