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

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 Utah, Medicare pays $34.92 for 92613 in the office and $29.58 when it’s performed in a hospital or facility.

$34.92Office (non-facility)
$29.58Hospital or facility
−2.3%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 Utah
  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 Utah 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. Utah pays $34.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

92613 in Utah vs other payment areas
  1. Utah · this page$34.92
  2. Los Angeles, CA · California$38.31+$3.39
  3. Washington, DC area · District of Columbia$39.16+$4.24
  4. Miami, FL · Florida$38.25+$3.33
  5. Chicago, IL · Illinois$37.69+$2.77
  6. Manhattan, NY · New York$39.84+$4.92
  7. Alaska · Alaska$47.40+$12.48

Other areas in Utah 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 Utah 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

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 92613 in Utah
ComponentRVULocality factorAdjusted
Physician work0.69× 1.0000.6900
Practice expense0.34× 0.9400.3196
Malpractice0.04× 0.8980.0359
Total RVUs1.0455
Conversion factor× 33.4009

Office rate, Utah$34.92

Office: (0.69 × 1 + 0.34 × 0.94 + 0.04 × 0.898) × $33.4009 = $34.92

Facility: (0.69 × 1 + 0.17 × 0.94 + 0.04 × 0.898) × $33.4009 = $29.58

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 Utah

92613 · Office / nonfacility

$34.92

Effective 2026-10-01

The base rate is $0.49 higher than on 2025-10-01, moving from $34.43 to $34.92 (1.4%).

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

    $34.43changed to$34.92

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.71 changed to 0.69
    • Practice expense GPCI 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $35.12changed to$34.43

    • 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

    $34.55changed to$35.12

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $35.90changed to$34.55

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.34 changed to 0.33
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930
  5. January 1, 2023

    RVU23A

    $35.85changed to$35.90

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.32 changed to 0.34
    • Practice expense GPCI 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $36.15changed to$35.85

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $38.06changed to$36.15

    • Conversion factor 36.0896 changed to 34.8931
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $37.96changed to$38.06

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.04 changed to 0.05
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $38.34changed to$37.96

    • 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

    $38.62changed to$38.34

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 0.06 changed to 0.05
    • Practice expense GPCI 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $38.50changed to$38.62

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $38.63changed to$38.50

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $38.44changed to$38.63

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $37.60changed to$38.44

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.04 changed to 0.06
    • Practice expense GPCI 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $37.19changed to$37.60

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.37 changed to 0.32
    • Practice expense GPCI 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $37.19

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$34.92$29.58RVU26D
2026-07-01$34.92$29.58RVU26C
2026-04-01$34.92$29.58RVU26B
2026-01-01$34.92$29.58RVU26A
2025-10-01$34.43$34.43RVU25D
2025-07-01$34.43$34.43RVU25C
2025-04-01$34.43$34.43RVU25B
2025-01-01$34.43$34.43RVU25A
2024-10-01$35.12$35.12RVU24D
2024-07-01$35.12$35.12RVU24C
2024-04-01$35.12$35.12RVU24B
2024-03-09$35.12$35.12RVU24AR
2024-01-01$34.55$34.55RVU24A
2023-10-01$35.90$35.90RVU23D
2023-07-01$35.90$35.90RVU23C
2023-04-01$35.90$35.90RVU23B
2023-01-01$35.90$35.90RVU23A
2022-10-01$35.85$35.85RVU22D
2022-07-01$35.85$35.85RVU22C
2022-04-01$35.85$35.85RVU22B
2022-01-01$35.85$35.85RVU22A
2021-10-01$36.15$36.15RVU21D
2021-07-01$36.15$36.15RVU21C
2021-04-01$36.15$36.15RVU21B
2021-01-01$36.15$36.15RVU21A
2020-10-01$38.06$38.06RVU20D
2020-07-01$38.06$38.06RVU20C
2020-04-01$38.06$38.06RVU20B
2020-01-01$38.06$38.06RVU20A
2019-10-01$37.96$37.96RVU19D
2019-07-01$37.96$37.96RVU19C
2019-04-01$37.96$37.96RVU19B
2019-01-01$37.96$37.96RVU19A
2018-10-01$38.34$38.34RVU18D
2018-07-01$38.34$38.34RVU18C
2018-04-01$38.34$38.34RVU18B
2018-01-01$38.34$38.34RVU18AR1
2017-10-01$38.62$38.62RVU17D
2017-07-01$38.62$38.62RVU17C
2017-04-01$38.62$38.62RVU17B
2017-01-01$38.62$38.62RVU17A
2016-10-01$38.50$38.50RVU16D
2016-07-01$38.50$38.50RVU16C
2016-04-01$38.50$38.50RVU16B
2016-01-01$38.50$38.50RVU16A
2015-10-01$38.63$38.63RVU15D
2015-07-01$38.63$38.63RVU15C
2015-04-01$38.44$38.44RVU15B
2015-01-01$38.44$38.44RVU15A
2014-10-01$37.60$37.60RVU14D
2014-07-01$37.60$37.60RVU14C
2014-04-01$37.60$37.60RVU14B
2014-01-01$37.60$37.60RVU14A
2013-10-01$37.19$37.19RVU13D
2013-07-01$37.19$37.19RVU13C
2013-04-01$37.19$37.19RVU13B
2013-01-01$37.19$37.19RVU13AR

Price 92613 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

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 UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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