CPT code 92617: FEES interpretation, with sensory testing2026 Medicare rate & RVUs in Washington, DC area
Reports interpretation of an endoscopic swallowing examination that includes laryngeal sensory testing, supporting assessment of dysphagia and airway protection.
In Washington, DC area, Medicare pays $43.52 for 92617 in the office and $36.44 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 92617 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 92617 covers
This code represents the interpretation and written report for a flexible endoscopic swallowing examination that includes sensory testing, such as assessing the laryngeal response to stimulation. An otolaryngologist or speech-language pathologist with appropriate training may evaluate findings from patients with dysphagia, suspected aspiration, or impaired laryngeal sensation, including after stroke or other neurologic disease. The examination helps characterize swallowing function and airway protection while the endoscope provides a view of the pharynx and larynx.
Report 92617 for the interpretation and report associated with the sensory-testing study represented by 92616. The record should identify the examination and sensory testing performed, document relevant observations and responses, and include the clinician’s interpretation and conclusions. When the swallowing examination does not include sensory testing, the interpretation/report code for that study is 92613 instead. Distinguish this service from interpretation of sensory laryngoscopy that does not evaluate swallowing, reported with 92615.
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 Washington, DC area compares for 92617
Across 109 of 109 payment localities, the office rate for 92617 runs from $37.19 in Arkansas to $52.66 in Alaska. Washington, DC area pays $43.52. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$43.52
- Los Angeles, CA · California$42.50−$1.02
- Miami, FL · Florida$42.81−$0.71
- Chicago, IL · Illinois$42.15−$1.37
- Manhattan, NY · New York$44.37+$0.85
- Alaska · Alaska$52.66+$9.14
- Alabama · Alabama$37.48−$6.04
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $37.19 | $32.03 |
| ArizonaArizona | $39.12 | $33.30 |
| Bakersfield, CACalifornia | $40.77 | $34.18 |
| Chico, CACalifornia | $40.60 | $34.01 |
| El Centro, CACalifornia | $40.60 | $34.01 |
| Fresno, CACalifornia | $40.60 | $34.01 |
| Hanford, CACalifornia | $40.60 | $34.01 |
| Madera, CACalifornia | $40.60 | $34.01 |
| Merced, CACalifornia | $40.60 | $34.01 |
| Modesto, CACalifornia | $40.60 | $34.01 |
| Napa, CACalifornia | $44.48 | $36.55 |
| Oxnard, CACalifornia | $42.09 | $34.98 |
| Redding, CACalifornia | $40.60 | $34.01 |
| Rest of CaliforniaCalifornia | $40.60 | $34.01 |
| Riverside, CACalifornia | $41.15 | $34.56 |
| Sacramento, CACalifornia | $41.91 | $34.92 |
| Salinas, CACalifornia | $41.73 | $34.77 |
| San Diego, CACalifornia | $42.18 | $34.99 |
| Marin County, CACalifornia | $46.35 | $37.88 |
| San Francisco, CACalifornia | $46.30 | $37.82 |
| San Benito County, CACalifornia | $47.26 | $38.59 |
| Santa Clara County, CACalifornia | $47.03 | $38.36 |
| San Luis Obispo, CACalifornia | $41.13 | $34.28 |
| Santa Cruz, CACalifornia | $42.17 | $34.86 |
| Santa Maria, CACalifornia | $41.74 | $34.73 |
| Santa Rosa, CACalifornia | $42.56 | $35.18 |
| Stockton, CACalifornia | $40.60 | $34.01 |
| Vallejo, CACalifornia | $44.39 | $36.47 |
| Visalia, CACalifornia | $40.60 | $34.01 |
| Yuba City, CACalifornia | $40.60 | $34.01 |
| ColoradoColorado | $40.48 | $34.08 |
| ConnecticutConnecticut | $41.56 | $35.09 |
| DelawareDelaware | $39.56 | $33.62 |
| Fort Lauderdale, FLFlorida | $41.26 | $35.17 |
| Rest of FloridaFlorida | $40.04 | $34.30 |
| Atlanta, GAGeorgia | $40.36 | $34.25 |
| Rest of GeorgiaGeorgia | $38.73 | $33.37 |
| Hawaii, Guam, HIHawaii | $40.74 | $33.90 |
| IowaIowa | $37.69 | $32.19 |
| IdahoIdaho | $37.88 | $32.35 |
| East St. Louis, ILIllinois | $40.45 | $34.92 |
| Rest of IllinoisIllinois | $39.61 | $34.12 |
| Suburban Chicago, ILIllinois | $41.55 | $35.38 |
| IndianaIndiana | $37.99 | $32.41 |
| KansasKansas | $37.73 | $32.30 |
| KentuckyKentucky | $38.23 | $32.89 |
| New Orleans, LALouisiana | $39.25 | $33.59 |
| Rest of LouisianaLouisiana | $38.26 | $32.93 |
| Metropolitan Boston, MAMassachusetts | $43.02 | $35.84 |
| Rest of MassachusettsMassachusetts | $40.47 | $34.14 |
| Baltimore area, MDMaryland | $41.46 | $35.01 |
| Rest of MarylandMaryland | $40.02 | $33.93 |
| Rest of MaineMaine | $38.13 | $32.60 |
| Southern Maine, MEMaine | $39.02 | $33.06 |
| Detroit, MIMichigan | $40.46 | $34.66 |
| Rest of MichiganMichigan | $38.89 | $33.40 |
| MinnesotaMinnesota | $38.93 | $32.74 |
| Metropolitan Kansas City, MOMissouri | $38.95 | $33.31 |
| Metropolitan St. Louis, MOMissouri | $39.16 | $33.43 |
| Rest of MissouriMissouri | $38.00 | $32.82 |
| MississippiMississippi | $37.59 | $32.42 |
| MontanaMontana | $39.74 | $33.73 |
| North CarolinaNorth Carolina | $38.32 | $32.71 |
| North DakotaNorth Dakota | $38.76 | $32.74 |
| NebraskaNebraska | $37.76 | $32.21 |
| New HampshireNew Hampshire | $40.05 | $33.79 |
| Northern New JerseyNew Jersey | $43.46 | $36.48 |
| Rest of New JerseyNew Jersey | $42.07 | $35.51 |
| New MexicoNew Mexico | $39.06 | $33.54 |
| NevadaNevada | $39.48 | $33.46 |
| NYC suburbs and Long Island, NYNew York | $45.16 | $38.01 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $42.43 | $35.85 |
| Queens, NYNew York | $44.38 | $37.27 |
| Rest of New YorkNew York | $38.63 | $32.92 |
| OhioOhio | $38.69 | $33.20 |
| OklahomaOklahoma | $38.05 | $32.68 |
| Portland, OROregon | $41.10 | $34.42 |
| Rest of OregonOregon | $39.20 | $33.21 |
| Metropolitan Philadelphia, PAPennsylvania | $41.04 | $34.78 |
| Rest of PennsylvaniaPennsylvania | $38.64 | $33.12 |
| Puerto RicoPuerto Rico | $39.86 | $33.78 |
| Rhode IslandRhode Island | $40.46 | $34.25 |
| South CarolinaSouth Carolina | $38.56 | $33.00 |
| South DakotaSouth Dakota | $38.64 | $32.63 |
| TennesseeTennessee | $37.85 | $32.38 |
| Austin, TXTexas | $40.32 | $33.96 |
| Beaumont, TXTexas | $38.52 | $33.05 |
| Brazoria, TXTexas | $39.47 | $33.52 |
| Dallas, TXTexas | $39.69 | $33.70 |
| Fort Worth, TXTexas | $39.59 | $33.66 |
| Galveston, TXTexas | $39.58 | $33.61 |
| Houston, TXTexas | $40.49 | $34.52 |
| Rest of TexasTexas | $38.95 | $33.25 |
| UtahUtah | $38.84 | $33.18 |
| VirginiaVirginia | $39.05 | $33.14 |
| Virgin Islands, VIUnited States Virgin Islands | $39.86 | $33.78 |
| VermontVermont | $38.80 | $32.85 |
| Rest of WashingtonWashington | $40.34 | $34.01 |
| King County, WAWashington | $43.53 | $36.16 |
| WisconsinWisconsin | $38.07 | $32.31 |
| West VirginiaWest Virginia | $38.85 | $33.62 |
| WyomingWyoming | $39.31 | $33.30 |
92617 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.
$37.19
$52.66
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 | $52.66 | 1 |
| AL | $37.48 | 1 |
| AR | $37.19 | 1 |
| AZ | $39.12 | 1 |
| CA | $40.60–$47.26 | 29 |
| CO | $40.48 | 1 |
| CT | $41.56 | 1 |
| DC | $43.52 | 1 |
| DE | $39.56 | 1 |
| FL | $40.04–$42.81 | 3 |
| GA | $38.73–$40.36 | 2 |
| GU | $40.74 | 1 |
| HI | $40.74 | 1 |
| IA | $37.69 | 1 |
| ID | $37.88 | 1 |
| IL | $39.61–$42.15 | 4 |
| IN | $37.99 | 1 |
| KS | $37.73 | 1 |
| KY | $38.23 | 1 |
| LA | $38.26–$39.25 | 2 |
| MA | $40.47–$43.02 | 2 |
| MD | $40.02–$43.52 | 3 |
| ME | $38.13–$39.02 | 2 |
| MI | $38.89–$40.46 | 2 |
| MN | $38.93 | 1 |
| MO | $38.00–$39.16 | 3 |
| MS | $37.59 | 1 |
| MT | $39.74 | 1 |
| NC | $38.32 | 1 |
| ND | $38.76 | 1 |
| NE | $37.76 | 1 |
| NH | $40.05 | 1 |
| NJ | $42.07–$43.46 | 2 |
| NM | $39.06 | 1 |
| NV | $39.48 | 1 |
| NY | $38.63–$45.16 | 5 |
| OH | $38.69 | 1 |
| OK | $38.05 | 1 |
| OR | $39.20–$41.10 | 2 |
| PA | $38.64–$41.04 | 2 |
| PR | $39.86 | 1 |
| RI | $40.46 | 1 |
| SC | $38.56 | 1 |
| SD | $38.64 | 1 |
| TN | $37.85 | 1 |
| TX | $38.52–$40.49 | 8 |
| UT | $38.84 | 1 |
| VA | $39.05–$43.52 | 2 |
| VI | $39.86 | 1 |
| VT | $38.80 | 1 |
| WA | $40.34–$43.53 | 2 |
| WI | $38.07 | 1 |
| WV | $38.85 | 1 |
| WY | $39.31 | 1 |
How the 92617 rate is calculated
Each of 92617’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 · 92617
RVUs × geographic indexes × conversion factor
Work0.77
0.77 RVUs× 1.000 GPCI
Practice expense0.37
0.37 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
1.1900
Conversion factor
$33.4009
Medicare rate
$39.75
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,875
- Code
- 92617
- Physician work
- 0.77
- Practice expense
- 0.37
- Malpractice
- 0.05
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.77 | × 1.054 | 0.8116 |
| Practice expense | 0.37 | × 1.178 | 0.4359 |
| Malpractice | 0.05 | × 1.113 | 0.0557 |
| Total RVUs | 1.3031 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Washington, DC area$43.52
Office: (0.77 × 1.054 + 0.37 × 1.178 + 0.05 × 1.113) × $33.4009 = $43.52
Facility: (0.77 × 1.054 + 0.19 × 1.178 + 0.05 × 1.113) × $33.4009 = $36.44
Payment rules and modifiers for 92617
92617 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 · 92617
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$39.75
- Non-facility (office)
- $39.75
- Facility
- $33.73
Higher because the practice carries its own overhead.
How 92617 has changed in Washington, DC area
92617 · Office / nonfacility
$43.52
Effective 2026-10-01
The base rate is $0.35 higher than on 2025-10-01, moving from $43.17 to $43.52 (0.8%).
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
$43.17changed to$43.52
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.79 changed to 0.77
- Practice expense RVU 0.38 changed to 0.37
- Malpractice RVU 0.04 changed to 0.05
- Work GPCI 1.057 changed to 1.054
- Practice expense GPCI 1.192 changed to 1.178
- Malpractice GPCI 1.168 changed to 1.113
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$44.42changed to$43.17
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.37 changed to 0.38
- Malpractice RVU 0.05 changed to 0.04
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$43.70changed to$44.42
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$45.57changed to$43.70
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.38 changed to 0.37
- Malpractice RVU 0.04 changed to 0.05
- Work GPCI 1.056 changed to 1.057
- Practice expense GPCI 1.214 changed to 1.192
- Malpractice GPCI 1.231 changed to 1.168
January 1, 2023
RVU23A
$46.45changed to$45.57
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.36 changed to 0.38
- Malpractice RVU 0.05 changed to 0.04
- Work GPCI 1.054 changed to 1.056
- Practice expense GPCI 1.236 changed to 1.214
- Malpractice GPCI 1.294 changed to 1.231
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$46.41changed to$46.45
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.35 changed to 0.36
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$47.19changed to$46.41
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.34 changed to 0.35
- Work GPCI 1.049 changed to 1.054
- Practice expense GPCI 1.221 changed to 1.236
- Malpractice GPCI 1.277 changed to 1.294
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$46.79changed to$47.19
- Conversion factor 36.0391 changed to 36.0896
- Work GPCI 1.045 changed to 1.049
- Practice expense GPCI 1.205 changed to 1.221
- Malpractice GPCI 1.261 changed to 1.277
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$46.74changed to$46.79
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$47.13changed to$46.74
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.35 changed to 0.34
- Work GPCI 1.048 changed to 1.045
- Malpractice GPCI 1.271 changed to 1.261
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$47.12changed to$47.13
- Conversion factor 35.8043 changed to 35.8887
- Work GPCI 1.051 changed to 1.048
- Malpractice GPCI 1.280 changed to 1.271
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$46.83changed to$47.12
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.04 changed to 0.05
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$46.60changed to$46.83
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$46.94changed to$46.60
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.36 changed to 0.35
- Work GPCI 1.050 changed to 1.051
- Practice expense GPCI 1.202 changed to 1.205
- Malpractice GPCI 1.205 changed to 1.280
Held through RVU15B.
January 1, 2014
RVU14A
$45.63changed to$46.94
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.39 changed to 0.36
- Work GPCI 1.049 changed to 1.050
- Practice expense GPCI 1.198 changed to 1.202
- Malpractice GPCI 1.130 changed to 1.205
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $45.63
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $43.52 | $36.44 | RVU26D |
| 2026-07-01 | $43.52 | $36.44 | RVU26C |
| 2026-04-01 | $43.52 | $36.44 | RVU26B |
| 2026-01-01 | $43.52 | $36.44 | RVU26A |
| 2025-10-01 | $43.17 | $42.79 | RVU25D |
| 2025-07-01 | $43.17 | $42.79 | RVU25C |
| 2025-04-01 | $43.17 | $42.79 | RVU25B |
| 2025-01-01 | $43.17 | $42.79 | RVU25A |
| 2024-10-01 | $44.42 | $44.42 | RVU24D |
| 2024-07-01 | $44.42 | $44.42 | RVU24C |
| 2024-04-01 | $44.42 | $44.42 | RVU24B |
| 2024-03-09 | $44.42 | $44.42 | RVU24AR |
| 2024-01-01 | $43.70 | $43.70 | RVU24A |
| 2023-10-01 | $45.57 | $45.16 | RVU23D |
| 2023-07-01 | $45.57 | $45.16 | RVU23C |
| 2023-04-01 | $45.57 | $45.16 | RVU23B |
| 2023-01-01 | $45.57 | $45.16 | RVU23A |
| 2022-10-01 | $46.45 | $46.45 | RVU22D |
| 2022-07-01 | $46.45 | $46.45 | RVU22C |
| 2022-04-01 | $46.45 | $46.45 | RVU22B |
| 2022-01-01 | $46.45 | $46.45 | RVU22A |
| 2021-10-01 | $46.41 | $46.41 | RVU21D |
| 2021-07-01 | $46.41 | $46.41 | RVU21C |
| 2021-04-01 | $46.41 | $46.41 | RVU21B |
| 2021-01-01 | $46.41 | $46.41 | RVU21A |
| 2020-10-01 | $47.19 | $47.19 | RVU20D |
| 2020-07-01 | $47.19 | $47.19 | RVU20C |
| 2020-04-01 | $47.19 | $47.19 | RVU20B |
| 2020-01-01 | $47.19 | $47.19 | RVU20A |
| 2019-10-01 | $46.79 | $46.79 | RVU19D |
| 2019-07-01 | $46.79 | $46.79 | RVU19C |
| 2019-04-01 | $46.79 | $46.79 | RVU19B |
| 2019-01-01 | $46.79 | $46.79 | RVU19A |
| 2018-10-01 | $46.74 | $46.30 | RVU18D |
| 2018-07-01 | $46.74 | $46.30 | RVU18C |
| 2018-04-01 | $46.74 | $46.30 | RVU18B |
| 2018-01-01 | $46.74 | $46.30 | RVU18AR1 |
| 2017-10-01 | $47.13 | $47.13 | RVU17D |
| 2017-07-01 | $47.13 | $47.13 | RVU17C |
| 2017-04-01 | $47.13 | $47.13 | RVU17B |
| 2017-01-01 | $47.13 | $47.13 | RVU17A |
| 2016-10-01 | $47.12 | $47.12 | RVU16D |
| 2016-07-01 | $47.12 | $47.12 | RVU16C |
| 2016-04-01 | $47.12 | $47.12 | RVU16B |
| 2016-01-01 | $47.12 | $47.12 | RVU16A |
| 2015-10-01 | $46.83 | $46.83 | RVU15D |
| 2015-07-01 | $46.83 | $46.83 | RVU15C |
| 2015-04-01 | $46.60 | $46.60 | RVU15B |
| 2015-01-01 | $46.60 | $46.60 | RVU15A |
| 2014-10-01 | $46.94 | $46.94 | RVU14D |
| 2014-07-01 | $46.94 | $46.94 | RVU14C |
| 2014-04-01 | $46.94 | $46.94 | RVU14B |
| 2014-01-01 | $46.94 | $46.94 | RVU14A |
| 2013-10-01 | $45.63 | $45.22 | RVU13D |
| 2013-07-01 | $45.63 | $45.22 | RVU13C |
| 2013-04-01 | $45.63 | $45.22 | RVU13B |
| 2013-01-01 | $45.63 | $45.22 | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
92617 billing questions
When is 92617 selected instead of 92613?
Use 92617 for interpretation and reporting of an endoscopic swallowing examination that includes sensory testing. Use 92613 when the endoscopic swallowing examination is performed without sensory testing.
How does 92617 relate to 92616?
92616 represents the endoscopic swallowing examination with sensory testing; 92617 represents interpretation and reporting of that examination. The report should document the findings and conclusions from the study.
Is 92617 the right code for sensory laryngoscopy without a swallow evaluation?
No. For interpretation and reporting of laryngoscopic sensory testing without the endoscopic swallowing evaluation, consider 92615.
What documentation supports reporting 92617?
Document that the study included sensory testing, the relevant endoscopic and sensory findings, and the clinician’s interpretation and conclusions. The report should correspond to the examination represented by 92616.
Does 92617 describe the endoscopic examination itself?
No. It represents the interpretation and report; 92616 represents the endoscopic swallowing examination with sensory testing.
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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