CPT code 92616: Swallow evaluation, laryngeal sensory testing2026 Medicare rate & RVUs in Puerto Rico
Flexible endoscopic swallowing evaluation with laryngeal sensory testing assesses swallowing function and sensory response using recorded endoscopic observation and applied stimuli.
In Puerto Rico, Medicare pays $230.58 for 92616 in the office and $79.97 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 92616 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 92616 covers
A clinician passes a flexible endoscope through the nose to view the pharynx and larynx during swallowing. The examination includes sensory testing by delivering stimuli to the laryngeal adductor mechanism and evaluating the response. Speech-language pathologists and otolaryngologists commonly perform or participate in this assessment in outpatient clinics, hospitals, and other settings where swallowing disorders are evaluated. Recorded views help document findings such as airway protection, residue, and the response to sensory stimulation.
Report 92616 for the endoscopic swallowing evaluation that includes this laryngeal sensory testing, rather than a swallowing assessment without endoscopy or sensory testing. The record should identify the endoscopic examination, the stimuli administered, observed sensory responses, swallowing findings, and the clinical interpretation. When the work is divided and only interpretation and reporting are performed, 92617 is the related code to consider. CMS values 92616 under the Physician Fee Schedule using work, practice-expense, and malpractice inputs; practice-expense values differ by office and facility setting.
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 Puerto Rico compares for 92616
Across 109 of 109 payment localities, the office rate for 92616 runs from $204.35 in Arkansas to $307.51 in San Benito County, CA. Puerto Rico pays $230.58. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$230.58
- Los Angeles, CA · California$260.77+$30.19
- Washington, DC area · District of Columbia$261.79+$31.21
- Miami, FL · Florida$239.15+$8.57
- Chicago, IL · Illinois$233.08+$2.50
- Manhattan, NY · New York$260.86+$30.28
- Alaska · Alaska$269.05+$38.47
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $207.11 | $76.77 |
| ArkansasArkansas | $204.35 | $76.39 |
| ArizonaArizona | $223.33 | $78.98 |
| Bakersfield, CACalifornia | $244.92 | $81.65 |
| Chico, CACalifornia | $244.62 | $81.35 |
| El Centro, CACalifornia | $244.63 | $81.37 |
| Fresno, CACalifornia | $244.62 | $81.35 |
| Hanford, CACalifornia | $244.62 | $81.35 |
| Madera, CACalifornia | $244.62 | $81.35 |
| Merced, CACalifornia | $244.62 | $81.35 |
| Modesto, CACalifornia | $244.62 | $81.35 |
| Napa, CACalifornia | $284.07 | $87.73 |
| Oxnard, CACalifornia | $259.72 | $83.64 |
| Redding, CACalifornia | $244.62 | $81.35 |
| Rest of CaliforniaCalifornia | $244.62 | $81.35 |
| Riverside, CACalifornia | $245.42 | $82.16 |
| Sacramento, CACalifornia | $256.86 | $83.61 |
| Salinas, CACalifornia | $255.89 | $83.24 |
| San Diego, CACalifornia | $261.96 | $83.80 |
| Marin County, CACalifornia | $301.13 | $91.08 |
| San Francisco, CACalifornia | $301.05 | $91.00 |
| San Benito County, CACalifornia | $307.51 | $92.70 |
| Santa Clara County, CACalifornia | $307.19 | $92.38 |
| San Luis Obispo, CACalifornia | $251.73 | $82.06 |
| Santa Cruz, CACalifornia | $264.54 | $83.55 |
| Santa Maria, CACalifornia | $256.87 | $83.17 |
| Santa Rosa, CACalifornia | $267.24 | $84.31 |
| Stockton, CACalifornia | $244.62 | $81.35 |
| Vallejo, CACalifornia | $283.96 | $87.62 |
| Visalia, CACalifornia | $244.62 | $81.35 |
| Yuba City, CACalifornia | $244.62 | $81.35 |
| ColoradoColorado | $239.60 | $81.10 |
| ConnecticutConnecticut | $243.24 | $82.80 |
| DelawareDelaware | $226.88 | $79.70 |
| Fort Lauderdale, FLFlorida | $232.83 | $81.93 |
| Rest of FloridaFlorida | $222.70 | $80.28 |
| Atlanta, GAGeorgia | $232.09 | $80.74 |
| Rest of GeorgiaGeorgia | $211.39 | $78.51 |
| Hawaii, Guam, HIHawaii | $250.46 | $81.09 |
| IowaIowa | $213.33 | $77.03 |
| IdahoIdaho | $214.34 | $77.29 |
| East St. Louis, ILIllinois | $217.94 | $80.89 |
| Rest of IllinoisIllinois | $215.73 | $79.72 |
| Suburban Chicago, ILIllinois | $235.49 | $82.50 |
| IndianaIndiana | $215.52 | $77.43 |
| KansasKansas | $211.76 | $77.10 |
| KentuckyKentucky | $210.25 | $77.81 |
| New Orleans, LALouisiana | $219.36 | $79.18 |
| Rest of LouisianaLouisiana | $209.68 | $77.85 |
| Metropolitan Boston, MAMassachusetts | $263.12 | $85.25 |
| Rest of MassachusettsMassachusetts | $238.06 | $81.20 |
| Baltimore area, MDMaryland | $242.40 | $82.56 |
| Rest of MarylandMaryland | $231.20 | $80.44 |
| Rest of MaineMaine | $214.69 | $77.64 |
| Southern Maine, MEMaine | $226.45 | $78.82 |
| Detroit, MIMichigan | $224.61 | $80.86 |
| Rest of MichiganMichigan | $214.71 | $78.71 |
| MinnesotaMinnesota | $231.94 | $78.66 |
| Metropolitan Kansas City, MOMissouri | $218.66 | $78.78 |
| Metropolitan St. Louis, MOMissouri | $220.86 | $79.05 |
| Rest of MissouriMissouri | $205.92 | $77.51 |
| MississippiMississippi | $205.20 | $76.94 |
| MontanaMontana | $228.79 | $79.82 |
| North CarolinaNorth Carolina | $216.87 | $77.89 |
| North DakotaNorth Dakota | $227.41 | $78.44 |
| NebraskaNebraska | $214.61 | $77.11 |
| New HampshireNew Hampshire | $235.28 | $80.21 |
| Northern New JerseyNew Jersey | $259.26 | $86.46 |
| Rest of New JerseyNew Jersey | $246.68 | $84.01 |
| New MexicoNew Mexico | $215.54 | $78.94 |
| NevadaNevada | $228.57 | $79.45 |
| NYC suburbs and Long Island, NYNew York | $265.96 | $88.84 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $247.74 | $84.62 |
| Queens, NYNew York | $263.83 | $87.75 |
| Rest of New YorkNew York | $219.84 | $78.32 |
| OhioOhio | $214.43 | $78.42 |
| OklahomaOklahoma | $210.58 | $77.56 |
| Portland, OROregon | $247.53 | $82.02 |
| Rest of OregonOregon | $227.44 | $79.07 |
| Metropolitan Philadelphia, PAPennsylvania | $237.13 | $82.05 |
| Rest of PennsylvaniaPennsylvania | $215.11 | $78.36 |
| Rhode IslandRhode Island | $235.16 | $81.28 |
| South CarolinaSouth Carolina | $215.88 | $78.23 |
| South DakotaSouth Dakota | $227.24 | $78.28 |
| TennesseeTennessee | $212.67 | $77.26 |
| Austin, TXTexas | $238.24 | $80.63 |
| Beaumont, TXTexas | $213.75 | $78.19 |
| Brazoria, TXTexas | $227.28 | $79.66 |
| Dallas, TXTexas | $228.35 | $79.98 |
| Fort Worth, TXTexas | $226.73 | $79.85 |
| Galveston, TXTexas | $227.73 | $79.80 |
| Houston, TXTexas | $229.01 | $81.08 |
| Rest of TexasTexas | $220.14 | $78.77 |
| UtahUtah | $218.64 | $78.61 |
| VirginiaVirginia | $225.30 | $78.86 |
| Virgin Islands, VIUnited States Virgin Islands | $230.58 | $79.97 |
| VermontVermont | $225.99 | $78.51 |
| Rest of WashingtonWashington | $237.79 | $80.93 |
| King County, WAWashington | $268.96 | $86.17 |
| WisconsinWisconsin | $220.23 | $77.52 |
| West VirginiaWest Virginia | $208.15 | $78.69 |
| WyomingWyoming | $228.19 | $79.22 |
92616 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.
$204.35
$276.07
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $269.05 | 1 |
| AL | $207.11 | 1 |
| AR | $204.35 | 1 |
| AZ | $223.33 | 1 |
| CA | $244.62–$307.51 | 29 |
| CO | $239.60 | 1 |
| CT | $243.24 | 1 |
| DC | $261.79 | 1 |
| DE | $226.88 | 1 |
| FL | $222.70–$239.15 | 3 |
| GA | $211.39–$232.09 | 2 |
| GU | $250.46 | 1 |
| HI | $250.46 | 1 |
| IA | $213.33 | 1 |
| ID | $214.34 | 1 |
| IL | $215.73–$235.49 | 4 |
| IN | $215.52 | 1 |
| KS | $211.76 | 1 |
| KY | $210.25 | 1 |
| LA | $209.68–$219.36 | 2 |
| MA | $238.06–$263.12 | 2 |
| MD | $231.20–$261.79 | 3 |
| ME | $214.69–$226.45 | 2 |
| MI | $214.71–$224.61 | 2 |
| MN | $231.94 | 1 |
| MO | $205.92–$220.86 | 3 |
| MS | $205.20 | 1 |
| MT | $228.79 | 1 |
| NC | $216.87 | 1 |
| ND | $227.41 | 1 |
| NE | $214.61 | 1 |
| NH | $235.28 | 1 |
| NJ | $246.68–$259.26 | 2 |
| NM | $215.54 | 1 |
| NV | $228.57 | 1 |
| NY | $219.84–$265.96 | 5 |
| OH | $214.43 | 1 |
| OK | $210.58 | 1 |
| OR | $227.44–$247.53 | 2 |
| PA | $215.11–$237.13 | 2 |
| PR | $230.58 | 1 |
| RI | $235.16 | 1 |
| SC | $215.88 | 1 |
| SD | $227.24 | 1 |
| TN | $212.67 | 1 |
| TX | $213.75–$238.24 | 8 |
| UT | $218.64 | 1 |
| VA | $225.30–$261.79 | 2 |
| VI | $230.58 | 1 |
| VT | $225.99 | 1 |
| WA | $237.79–$268.96 | 2 |
| WI | $220.23 | 1 |
| WV | $208.15 | 1 |
| WY | $228.19 | 1 |
How the 92616 rate is calculated
Each of 92616’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 · 92616
RVUs × geographic indexes × conversion factor
Work1.83
1.83 RVUs× 1.000 GPCI
Practice expense4.95
4.95 RVUs× 1.000 GPCI
Malpractice0.07
0.07 RVUs× 1.000 GPCI
Adjusted RVUs
6.8500
Conversion factor
$33.4009
Medicare rate
$228.80
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,874
- Code
- 92616
- Physician work
- 1.83
- Practice expense
- 4.95
- Malpractice
- 0.07
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.83 | × 1.000 | 1.8300 |
| Practice expense | 4.95 | × 1.011 | 5.0044 |
| Malpractice | 0.07 | × 0.985 | 0.0690 |
| Total RVUs | 6.9034 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$230.58
Office: (1.83 × 1 + 4.95 × 1.011 + 0.07 × 0.985) × $33.4009 = $230.58
Facility: (1.83 × 1 + 0.49 × 1.011 + 0.07 × 0.985) × $33.4009 = $79.97
Payment rules and modifiers for 92616
92616 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 · 92616
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$228.80
- Non-facility (office)
- $228.80
- Facility
- $79.83
Higher because the practice carries its own overhead.
How 92616 has changed in Puerto Rico
92616 · Office / nonfacility
$230.58
Effective 2026-10-01
The base rate is $5.03 higher than on 2025-10-01, moving from $225.55 to $230.58 (2.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$225.55changed to$230.58
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.88 changed to 1.83
- Practice expense RVU 4.96 changed to 4.95
- Malpractice RVU 0.10 changed to 0.07
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$229.43changed to$225.55
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 4.88 changed to 4.96
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$225.68changed to$229.43
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$228.27changed to$225.68
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 4.72 changed to 4.88
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$227.04changed to$228.27
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$222.30changed to$227.04
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 4.40 changed to 4.72
- Malpractice RVU 0.11 changed to 0.10
- Practice expense GPCI 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$222.03changed to$222.30
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 4.34 changed to 4.40
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$222.74changed to$222.03
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 4.15 changed to 4.34
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$211.76changed to$222.74
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 3.86 changed to 4.15
- Practice expense GPCI 1.007 changed to 1.008
- Malpractice GPCI 0.990 changed to 0.988
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$211.89changed to$211.76
- Conversion factor 35.9996 changed to 36.0391
- Malpractice RVU 0.12 changed to 0.11
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$188.82changed to$211.89
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 0.856 changed to 1.007
- Malpractice GPCI 0.642 changed to 0.990
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$167.01changed to$188.82
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 3.90 changed to 3.86
- Practice expense GPCI 0.705 changed to 0.856
- Malpractice GPCI 0.293 changed to 0.642
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$165.23changed to$167.01
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 3.81 changed to 3.90
- Malpractice RVU 0.11 changed to 0.12
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$164.41changed to$165.23
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$166.98changed to$164.41
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 3.98 changed to 3.81
- Malpractice RVU 0.10 changed to 0.11
- Practice expense GPCI 0.692 changed to 0.705
- Malpractice GPCI 0.271 changed to 0.293
Held through RVU15B.
January 1, 2014
RVU14A
$163.08changed to$166.98
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 4.26 changed to 3.98
- Practice expense GPCI 0.678 changed to 0.692
- Malpractice GPCI 0.249 changed to 0.271
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $163.08
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $230.58 | $79.97 | RVU26D |
| 2026-07-01 | $230.58 | $79.97 | RVU26C |
| 2026-04-01 | $230.58 | $79.97 | RVU26B |
| 2026-01-01 | $230.58 | $79.97 | RVU26A |
| 2025-10-01 | $225.55 | $96.24 | RVU25D |
| 2025-07-01 | $225.55 | $96.24 | RVU25C |
| 2025-04-01 | $225.55 | $96.24 | RVU25B |
| 2025-01-01 | $225.55 | $96.24 | RVU25A |
| 2024-10-01 | $229.43 | $98.36 | RVU24D |
| 2024-07-01 | $229.43 | $98.36 | RVU24C |
| 2024-04-01 | $229.43 | $98.36 | RVU24B |
| 2024-03-09 | $229.43 | $98.36 | RVU24AR |
| 2024-01-01 | $225.68 | $96.76 | RVU24A |
| 2023-10-01 | $228.27 | $99.49 | RVU23D |
| 2023-07-01 | $227.04 | $99.29 | RVU23C |
| 2023-04-01 | $227.04 | $99.29 | RVU23B |
| 2023-01-01 | $227.04 | $99.29 | RVU23A |
| 2022-10-01 | $222.30 | $100.21 | RVU22D |
| 2022-07-01 | $222.30 | $100.21 | RVU22C |
| 2022-04-01 | $222.30 | $100.21 | RVU22B |
| 2022-01-01 | $222.30 | $100.21 | RVU22A |
| 2021-10-01 | $222.03 | $99.98 | RVU21D |
| 2021-07-01 | $222.03 | $99.98 | RVU21C |
| 2021-04-01 | $222.03 | $99.98 | RVU21B |
| 2021-01-01 | $222.03 | $99.98 | RVU21A |
| 2020-10-01 | $222.74 | $103.06 | RVU20D |
| 2020-07-01 | $222.74 | $103.06 | RVU20C |
| 2020-04-01 | $222.74 | $103.06 | RVU20B |
| 2020-01-01 | $222.74 | $103.06 | RVU20A |
| 2019-10-01 | $211.76 | $102.53 | RVU19D |
| 2019-07-01 | $211.76 | $102.53 | RVU19C |
| 2019-04-01 | $211.76 | $102.53 | RVU19B |
| 2019-01-01 | $211.76 | $102.53 | RVU19A |
| 2018-10-01 | $211.89 | $102.04 | RVU18D |
| 2018-07-01 | $211.89 | $102.04 | RVU18C |
| 2018-04-01 | $211.89 | $102.04 | RVU18B |
| 2018-01-01 | $211.89 | $102.04 | RVU18AR1 |
| 2017-10-01 | $188.82 | $96.96 | RVU17D |
| 2017-07-01 | $188.82 | $96.96 | RVU17C |
| 2017-04-01 | $188.82 | $96.96 | RVU17B |
| 2017-01-01 | $188.82 | $96.96 | RVU17A |
| 2016-10-01 | $167.01 | $90.78 | RVU16D |
| 2016-07-01 | $167.01 | $90.78 | RVU16C |
| 2016-04-01 | $167.01 | $90.78 | RVU16B |
| 2016-01-01 | $167.01 | $90.78 | RVU16A |
| 2015-10-01 | $165.23 | $90.75 | RVU15D |
| 2015-07-01 | $165.23 | $90.75 | RVU15C |
| 2015-04-01 | $164.41 | $90.30 | RVU15B |
| 2015-01-01 | $164.41 | $90.30 | RVU15A |
| 2014-10-01 | $166.98 | $90.63 | RVU14D |
| 2014-07-01 | $166.98 | $90.63 | RVU14C |
| 2014-04-01 | $166.98 | $90.63 | RVU14B |
| 2014-01-01 | $166.98 | $90.63 | RVU14A |
| 2013-10-01 | $163.08 | $86.03 | RVU13D |
| 2013-07-01 | $163.08 | $86.03 | RVU13C |
| 2013-04-01 | $163.08 | $86.03 | RVU13B |
| 2013-01-01 | $163.08 | $86.03 | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
92616 billing questions
How does 92616 differ from 92612?
92616 includes laryngeal sensory testing during the endoscopic swallowing evaluation. Use 92612 for the endoscopic evaluation without that sensory-testing element.
How does 92616 differ from 92614?
92616 specifically describes sensory testing through administration of stimuli to the laryngeal adductor mechanism. Select the code that matches the sensory-testing service actually performed and documented.
When should 92617 be considered?
92617 describes interpretation and reporting only for the endoscopic swallowing evaluation with laryngeal sensory testing. Consider it when that interpretive work is performed separately from the examination.
What documentation supports 92616?
Document the endoscopic examination, sensory stimuli administered, laryngeal response, swallowing observations, and the resulting clinical assessment.
Can a nonendoscopic swallowing evaluation be reported as 92616?
No. 92616 describes an endoscopic swallowing evaluation with laryngeal sensory testing; a nonendoscopic functional assessment is a different 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
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