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CPT code 92615: FEES interpretation, with sensory testing2026 Medicare rate & RVUs in Hawaii, Guam, HI

Use this code for the clinician’s interpretation and report of an endoscopic swallowing examination that includes testing of laryngeal sensation.

CMS RVU26DEffective Oct 1, 2026One payment locality90 Medicare services in 2024

In Hawaii, Guam, HI, Medicare pays $32.92 for 92615 in the office and $26.84 when it’s performed in a hospital or facility.

$32.92Office (non-facility)
$26.84Hospital or facility
+2.7%vs the national office rate ($32.06)

Check a contract rate as a % of Medicare · 92615 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 92615 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Hawaii, Guam, HI
  2. What 92615 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 92615 covers

This service is the clinical interpretation and written report for a flexible endoscopic swallowing examination that includes laryngeal sensory testing. During the related examination, a thin endoscope is passed through the nose to view the pharynx and larynx as the patient swallows; sensory testing evaluates the laryngeal response to stimulation. The study may help assess dysphagia, airway protection, or suspected aspiration. It is commonly performed in an outpatient setting by a speech-language pathologist or an otolaryngology team, with the interpreting clinician documenting the findings.

Report 92615 for the interpretation and report associated with the sensory-testing examination represented by 92614; it does not describe performing the endoscopic examination or administering the sensory stimulus. Documentation should identify the study reviewed, summarize relevant swallowing and sensory findings, and provide the clinical interpretation. Distinguish this report from interpretation of an endoscopic swallowing examination without sensory testing, and from a combined swallowing and laryngeal sensory study represented by a different code. CMS lists 92615 as a separately valued service in the physician fee schedule.

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 Hawaii, Guam, HI compares for 92615

Across 109 of 109 payment localities, the office rate for 92615 runs from $29.96 in Arkansas to $42.33 in Alaska. Hawaii, Guam, HI pays $32.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

92615 in Hawaii, Guam, HI vs other payment areas
  1. Hawaii, Guam, HI · this page$32.92
  2. Los Angeles, CA · California$34.35+$1.43
  3. Washington, DC area · District of Columbia$35.16+$2.24
  4. Miami, FL · Florida$34.53+$1.61
  5. Chicago, IL · Illinois$33.99+$1.07
  6. Manhattan, NY · New York$35.83+$2.91
  7. Alaska · Alaska$42.33+$9.41

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

Every other payment area

92615 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$30.19$25.51
ArkansasArkansas$29.96$25.37
ArizonaArizona$31.55$26.37
Bakersfield, CACalifornia$32.92$27.07
Chico, CACalifornia$32.79$26.93
El Centro, CACalifornia$32.79$26.93
Fresno, CACalifornia$32.79$26.93
Hanford, CACalifornia$32.79$26.93

92615 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.

$29.96

$42.33

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

View every state and territory as a table
92615 office rate range by state
State / territoryOffice rate rangeLocalities
AK$42.331
AL$30.191
AR$29.961
AZ$31.551
CA$32.79–$38.2629
CO$32.681
CT$33.551
DC$35.161
DE$31.911
FL$32.28–$34.533
GA$31.20–$32.562
GU$32.921
HI$32.921
IA$30.381
ID$30.531
IL$31.92–$33.994
IN$30.621
KS$30.411
KY$30.801
LA$30.82–$31.642
MA$32.67–$34.762
MD$32.28–$35.163
ME$30.73–$31.482
MI$31.34–$32.622
MN$31.421
MO$30.60–$31.573
MS$30.281
MT$32.061
NC$30.891
ND$31.271
NE$30.441
NH$32.321
NJ$33.96–$35.102
NM$31.471
NV$31.851
NY$31.15–$36.475
OH$31.171
OK$30.661
OR$31.63–$33.202
PA$31.14–$33.112
PR$32.161
RI$32.651
SC$31.081
SD$31.181
TN$30.501
TX$31.04–$32.668
UT$31.311
VA$31.50–$35.162
VI$32.161
VT$31.301
WA$32.56–$35.192
WI$30.711
WV$31.281
WY$31.721

See 92615 in every payment locality

How the 92615 rate is calculated

Each of 92615’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 · 92615

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.61

0.61 RVUs× 1.000 GPCI

Practice expense0.31

0.31 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

0.9600

Conversion factor

$33.4009

Medicare rate

$32.06

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

The exact Hawaii, Guam, HI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,873

Code
92615
Physician work
0.61
Practice expense
0.31
Malpractice
0.04

GPCI2026.csv

46

Locality
Hawaii, Guam, HI
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Office calculation for 92615 in Hawaii, Guam, HI
ComponentRVULocality factorAdjusted
Physician work0.61× 1.0000.6100
Practice expense0.31× 1.1370.3525
Malpractice0.04× 0.5790.0232
Total RVUs0.9856
Conversion factor× 33.4009

Office rate, Hawaii, Guam, HI$32.92

Office: (0.61 × 1 + 0.31 × 1.137 + 0.04 × 0.579) × $33.4009 = $32.92

Facility: (0.61 × 1 + 0.15 × 1.137 + 0.04 × 0.579) × $33.4009 = $26.84

Open 92615 in the RVU calculator

Payment rules and modifiers for 92615

92615 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 · 92615

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$32.06

Non-facility (office)
$32.06
Facility
$26.72

Higher because the practice carries its own overhead.

Codes related to 92615

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

Codes related to 92615
CodeHow it relatesOffice range, Hawaii, Guam, HI
Often billed with
92614Laryngeal sensory test, video recordingRepresents the endoscopic swallowing examination with sensory testing interpreted under 92615.$165.62
Used instead
92613Swallow study, interpretation and report onlyInterpretation and report for endoscopic swallowing examination without sensory testing.$36.73
92617FEES interpretation, with sensory testingInterpretation and report for the combined swallowing and laryngeal sensory study.$40.74
92616Swallow evaluation, laryngeal sensory testingRepresents the combined endoscopic swallowing and laryngeal sensory study.$250.46

How 92615 has changed in Hawaii, Guam, HI

92615 · Office / nonfacility

$32.92

Effective 2026-10-01

The base rate is $0.67 higher than on 2025-10-01, moving from $32.25 to $32.92 (2.1%).

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

    $32.25changed to$32.92

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.63 changed to 0.61
    • Practice expense RVU 0.30 changed to 0.31
    • Practice expense GPCI 1.149 changed to 1.137
    • Malpractice GPCI 0.561 changed to 0.579

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $33.19changed to$32.25

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $32.65changed to$33.19

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $33.90changed to$32.65

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 1.146 changed to 1.149
    • Malpractice GPCI 0.618 changed to 0.561

  5. January 1, 2023

    RVU23A

    $34.43changed to$33.90

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.29 changed to 0.30
    • Work GPCI 1.010 changed to 1.003
    • Practice expense GPCI 1.143 changed to 1.146
    • Malpractice GPCI 0.675 changed to 0.618

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $34.31changed to$34.43

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.28 changed to 0.29

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $35.18changed to$34.31

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.27 changed to 0.28
    • Malpractice RVU 0.05 changed to 0.04
    • Work GPCI 1.006 changed to 1.010
    • Practice expense GPCI 1.144 changed to 1.143
    • Malpractice GPCI 0.644 changed to 0.675

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $34.76changed to$35.18

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.04 changed to 0.05
    • Work GPCI 1.001 changed to 1.006
    • Practice expense GPCI 1.146 changed to 1.144
    • Malpractice GPCI 0.614 changed to 0.644

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $34.73changed to$34.76

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $35.14changed to$34.73

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.28 changed to 0.27
    • Work GPCI 1.002 changed to 1.001
    • Practice expense GPCI 1.154 changed to 1.146
    • Malpractice GPCI 0.616 changed to 0.614

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $35.57changed to$35.14

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.29 changed to 0.28
    • Work GPCI 1.003 changed to 1.002
    • Practice expense GPCI 1.162 changed to 1.154
    • Malpractice GPCI 0.618 changed to 0.616

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $35.29changed to$35.57

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.28 changed to 0.29

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $35.11changed to$35.29

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $35.77changed to$35.11

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.30 changed to 0.28
    • Malpractice RVU 0.03 changed to 0.04
    • Work GPCI 1.002 changed to 1.003
    • Practice expense GPCI 1.158 changed to 1.162
    • Malpractice GPCI 0.659 changed to 0.618

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $34.71changed to$35.77

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.32 changed to 0.30
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.700 changed to 0.659

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$34.71

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$32.92$26.84RVU26D
2026-07-01$32.92$26.84RVU26C
2026-04-01$32.92$26.84RVU26B
2026-01-01$32.92$26.84RVU26A
2025-10-01$32.25$32.25RVU25D
2025-07-01$32.25$32.25RVU25C
2025-04-01$32.25$32.25RVU25B
2025-01-01$32.25$32.25RVU25A
2024-10-01$33.19$33.19RVU24D
2024-07-01$33.19$33.19RVU24C
2024-04-01$33.19$33.19RVU24B
2024-03-09$33.19$33.19RVU24AR
2024-01-01$32.65$32.65RVU24A
2023-10-01$33.90$33.90RVU23D
2023-07-01$33.90$33.90RVU23C
2023-04-01$33.90$33.90RVU23B
2023-01-01$33.90$33.90RVU23A
2022-10-01$34.43$34.43RVU22D
2022-07-01$34.43$34.43RVU22C
2022-04-01$34.43$34.43RVU22B
2022-01-01$34.43$34.43RVU22A
2021-10-01$34.31$34.31RVU21D
2021-07-01$34.31$34.31RVU21C
2021-04-01$34.31$34.31RVU21B
2021-01-01$34.31$34.31RVU21A
2020-10-01$35.18$35.18RVU20D
2020-07-01$35.18$35.18RVU20C
2020-04-01$35.18$35.18RVU20B
2020-01-01$35.18$35.18RVU20A
2019-10-01$34.76$34.76RVU19D
2019-07-01$34.76$34.76RVU19C
2019-04-01$34.76$34.76RVU19B
2019-01-01$34.76$34.76RVU19A
2018-10-01$34.73$34.73RVU18D
2018-07-01$34.73$34.73RVU18C
2018-04-01$34.73$34.73RVU18B
2018-01-01$34.73$34.73RVU18AR1
2017-10-01$35.14$35.14RVU17D
2017-07-01$35.14$35.14RVU17C
2017-04-01$35.14$35.14RVU17B
2017-01-01$35.14$35.14RVU17A
2016-10-01$35.57$35.16RVU16D
2016-07-01$35.57$35.16RVU16C
2016-04-01$35.57$35.16RVU16B
2016-01-01$35.57$35.16RVU16A
2015-10-01$35.29$35.29RVU15D
2015-07-01$35.29$35.29RVU15C
2015-04-01$35.11$35.11RVU15B
2015-01-01$35.11$35.11RVU15A
2014-10-01$35.77$35.35RVU14D
2014-07-01$35.77$35.35RVU14C
2014-04-01$35.77$35.35RVU14B
2014-01-01$35.77$35.35RVU14A
2013-10-01$34.71$34.32RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 92615 for an earlier date of service

Where the Hawaii, Guam, HI rate applies

Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.

  • Ahuimanu
  • Aiea
  • Ainaloa
  • Anahola
  • Black Sands
  • Captain Cook
  • Discovery Harbour
  • East Honolulu

Browse all communities in Hawaii

92615 billing questions

How does 92615 differ from 92614?

92614 represents the endoscopic examination with sensory testing. 92615 represents the interpretation and report for that examination.

Can 92615 be reported for FEES without sensory testing?

No. For interpretation and reporting of an endoscopic swallowing examination without sensory testing, the related code is 92613.

What documentation supports 92615?

Document the examination interpreted, the swallowing and sensory findings, and the clinician’s assessment of those findings.

Does 92615 describe the endoscope procedure?

No. It describes interpretation and reporting; the corresponding examination with sensory testing is represented by 92614.

When is 92617 a better match?

Use 92617 for interpretation and reporting of the combined endoscopic swallowing and laryngeal sensory study represented by 92616.

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 92615PPRRVU2026_Oct_nonQPP.csv, line 11,873 (RVU26D)
Geographic factors for Hawaii, Guam, HIGPCI2026.csv, line 46 (RVU26D)

Open CMS sourceHow we calculate rates

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