CPT code 92616: Swallow evaluation, laryngeal sensory testing2026 Medicare rate & RVUs in Brazoria, TX

Flexible endoscopic swallowing evaluation with laryngeal sensory testing assesses swallowing function and sensory response using recorded endoscopic observation and applied stimuli.

CMS RVU26DEffective Oct 1, 2026One payment locality1.7K Medicare services in 2024

In Brazoria, TX, Medicare pays $227.28 for 92616 in the office and $79.66 when it’s performed in a hospital or facility.

$227.28Office (non-facility)
$79.66Hospital or facility
−0.7%vs the national office rate ($228.80)

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.

We’ll open 92616 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Brazoria, TX
  2. What 92616 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 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 Brazoria, TX 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. Brazoria, TX pays $227.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

92616 in Brazoria, TX vs other payment areas
  1. Brazoria, TX · this page$227.28
  2. Austin, TX · Texas$238.24+$10.96
  3. Beaumont, TX · Texas$213.75−$13.53
  4. Dallas, TX · Texas$228.35+$1.07
  5. Fort Worth, TX · Texas$226.73−$0.55
  6. Galveston, TX · Texas$227.73+$0.45
  7. Houston, TX · Texas$229.01+$1.73

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

Every other payment area

92616 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$220.14$78.77
Los Angeles, CACalifornia$260.77$84.54
Washington, DC areaDistrict of Columbia$261.79$86.31
Miami, FLFlorida$239.15$84.07
Chicago, ILIllinois$233.08$83.37
Manhattan, NYNew York$260.86$87.76
AlaskaAlaska$269.05$110.40
AlabamaAlabama$207.11$76.77

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
92616 office rate range by state
State / territoryOffice rate rangeLocalities
AK$269.051
AL$207.111
AR$204.351
AZ$223.331
CA$244.62–$307.5129
CO$239.601
CT$243.241
DC$261.791
DE$226.881
FL$222.70–$239.153
GA$211.39–$232.092
GU$250.461
HI$250.461
IA$213.331
ID$214.341
IL$215.73–$235.494
IN$215.521
KS$211.761
KY$210.251
LA$209.68–$219.362
MA$238.06–$263.122
MD$231.20–$261.793
ME$214.69–$226.452
MI$214.71–$224.612
MN$231.941
MO$205.92–$220.863
MS$205.201
MT$228.791
NC$216.871
ND$227.411
NE$214.611
NH$235.281
NJ$246.68–$259.262
NM$215.541
NV$228.571
NY$219.84–$265.965
OH$214.431
OK$210.581
OR$227.44–$247.532
PA$215.11–$237.132
PR$230.581
RI$235.161
SC$215.881
SD$227.241
TN$212.671
TX$213.75–$238.248
UT$218.641
VA$225.30–$261.792
VI$230.581
VT$225.991
WA$237.79–$268.962
WI$220.231
WV$208.151
WY$228.191

See 92616 in every payment locality

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

Office or facility?

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 Brazoria, TX 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

98

Locality
Brazoria, TX
Physician work
1.008
Practice expense
0.991
Malpractice
0.780
Office calculation for 92616 in Brazoria, TX
ComponentRVULocality factorAdjusted
Physician work1.83× 1.0081.8446
Practice expense4.95× 0.9914.9055
Malpractice0.07× 0.7800.0546
Total RVUs6.8047
Conversion factor× 33.4009

Office rate, Brazoria, TX$227.28

Office: (1.83 × 1.008 + 4.95 × 0.991 + 0.07 × 0.78) × $33.4009 = $227.28

Facility: (1.83 × 1.008 + 0.49 × 0.991 + 0.07 × 0.78) × $33.4009 = $79.66

Open 92616 in the RVU calculator

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 Brazoria, TX

92616 · Office / nonfacility

$227.28

Effective 2026-10-01

The base rate is $1.64 higher than on 2025-10-01, moving from $225.64 to $227.28 (0.7%).

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

    $225.64changed to$227.28

    • 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
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.006 changed to 0.991
    • Malpractice GPCI 0.795 changed to 0.780

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $229.52changed to$225.64

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.88 changed to 4.96

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $225.77changed to$229.52

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $229.64changed to$225.77

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.72 changed to 4.88
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.014 changed to 1.006
    • Malpractice GPCI 0.673 changed to 0.795
  5. January 1, 2023

    RVU23A

    $225.00changed to$229.64

    • 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
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.023 changed to 1.014
    • Malpractice GPCI 0.550 changed to 0.673

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $224.73changed to$225.00

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.34 changed to 4.40

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $223.64changed to$224.73

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.15 changed to 4.34
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.010 changed to 1.023
    • Malpractice GPCI 0.695 changed to 0.550

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $211.13changed to$223.64

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.86 changed to 4.15
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 0.997 changed to 1.010
    • Malpractice GPCI 0.839 changed to 0.695

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $211.20changed to$211.13

    • Conversion factor 35.9996 changed to 36.0391
    • Malpractice RVU 0.12 changed to 0.11

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $210.38changed to$211.20

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.994 changed to 0.997
    • Malpractice GPCI 0.897 changed to 0.839

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $210.93changed to$210.38

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.90 changed to 3.86
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 0.990 changed to 0.994
    • Malpractice GPCI 0.955 changed to 0.897

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $208.15changed to$210.93

    • 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.

  13. July 1, 2015

    RVU15C

    $207.12changed to$208.15

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $212.66changed to$207.12

    • 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
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 0.989 changed to 0.990
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $210.73changed to$212.66

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.26 changed to 3.98
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 0.987 changed to 0.989
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $210.73

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$227.28$79.66RVU26D
2026-07-01$227.28$79.66RVU26C
2026-04-01$227.28$79.66RVU26B
2026-01-01$227.28$79.66RVU26A
2025-10-01$225.64$96.45RVU25D
2025-07-01$225.64$96.45RVU25C
2025-04-01$225.64$96.45RVU25B
2025-01-01$225.64$96.45RVU25A
2024-10-01$229.52$98.59RVU24D
2024-07-01$229.52$98.59RVU24C
2024-04-01$229.52$98.59RVU24B
2024-03-09$229.52$98.59RVU24AR
2024-01-01$225.77$96.98RVU24A
2023-10-01$229.64$100.10RVU23D
2023-07-01$229.64$100.10RVU23C
2023-04-01$229.64$100.10RVU23B
2023-01-01$229.64$100.10RVU23A
2022-10-01$225.00$101.10RVU22D
2022-07-01$225.00$101.10RVU22C
2022-04-01$225.00$101.10RVU22B
2022-01-01$225.00$101.10RVU22A
2021-10-01$224.73$100.86RVU21D
2021-07-01$224.73$100.86RVU21C
2021-04-01$224.73$100.86RVU21B
2021-01-01$224.73$100.86RVU21A
2020-10-01$223.64$103.72RVU20D
2020-07-01$223.64$103.72RVU20C
2020-04-01$223.64$103.72RVU20B
2020-01-01$223.64$103.72RVU20A
2019-10-01$211.13$102.98RVU19D
2019-07-01$211.13$102.98RVU19C
2019-04-01$211.13$102.98RVU19B
2019-01-01$211.13$102.98RVU19A
2018-10-01$211.20$102.45RVU18D
2018-07-01$211.20$102.45RVU18C
2018-04-01$211.20$102.45RVU18B
2018-01-01$211.20$102.45RVU18AR1
2017-10-01$210.38$103.72RVU17D
2017-07-01$210.38$103.72RVU17C
2017-04-01$210.38$103.72RVU17B
2017-01-01$210.38$103.72RVU17A
2016-10-01$210.93$103.89RVU16D
2016-07-01$210.93$103.89RVU16C
2016-04-01$210.93$103.89RVU16B
2016-01-01$210.93$103.89RVU16A
2015-10-01$208.15$103.56RVU15D
2015-07-01$208.15$103.56RVU15C
2015-04-01$207.12$103.05RVU15B
2015-01-01$207.12$103.05RVU15A
2014-10-01$212.66$103.54RVU14D
2014-07-01$212.66$103.54RVU14C
2014-04-01$212.66$103.54RVU14B
2014-01-01$212.66$103.54RVU14A
2013-10-01$210.73$98.57RVU13D
2013-07-01$210.73$98.57RVU13C
2013-04-01$210.73$98.57RVU13B
2013-01-01$210.73$98.57RVU13AR

Price 92616 for an earlier date of service

Where the Brazoria, TX rate applies

Brazoria, TX is a Medicare payment area, not a city. Our Census mapping connects it to 28 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

  • Brazoria
  • Alvin
  • Angleton
  • Bailey's Prairie
  • Bonney
  • Brookside Village
  • Clute
  • Damon

Browse all communities in Texas

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
RVUs for 92616PPRRVU2026_Oct_nonQPP.csv, line 11,874 (RVU26D)
Geographic factors for Brazoria, TXGPCI2026.csv, line 98 (RVU26D)

Open CMS sourceHow we calculate rates

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