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CPT code 92617: FEES interpretation, with sensory testing2026 Medicare rate & RVUs in Puerto Rico

Reports interpretation of an endoscopic swallowing examination that includes laryngeal sensory testing, supporting assessment of dysphagia and airway protection.

CMS RVU26DEffective Oct 1, 2026One payment locality900 Medicare services in 2024

In Puerto Rico, Medicare pays $39.86 for 92617 in the office and $33.78 when it’s performed in a hospital or facility.

$39.86Office (non-facility)
$33.78Hospital or facility
+0.3%vs the national office rate ($39.75)

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.

We’ll open 92617 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 92617 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 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 Puerto Rico 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. Puerto Rico pays $39.86. The RVUs are the same everywhere; the geographic indexes change the dollars.

92617 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$39.86
  2. Los Angeles, CA · California$42.50+$2.64
  3. Washington, DC area · District of Columbia$43.52+$3.66
  4. Miami, FL · Florida$42.81+$2.95
  5. Chicago, IL · Illinois$42.15+$2.29
  6. Manhattan, NY · New York$44.37+$4.51
  7. Alaska · Alaska$52.66+$12.80

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

Every other payment area

92617 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$37.48$32.22
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

92617 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.

$37.19

$52.66

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

View every state and territory as a table
92617 office rate range by state
State / territoryOffice rate rangeLocalities
AK$52.661
AL$37.481
AR$37.191
AZ$39.121
CA$40.60–$47.2629
CO$40.481
CT$41.561
DC$43.521
DE$39.561
FL$40.04–$42.813
GA$38.73–$40.362
GU$40.741
HI$40.741
IA$37.691
ID$37.881
IL$39.61–$42.154
IN$37.991
KS$37.731
KY$38.231
LA$38.26–$39.252
MA$40.47–$43.022
MD$40.02–$43.523
ME$38.13–$39.022
MI$38.89–$40.462
MN$38.931
MO$38.00–$39.163
MS$37.591
MT$39.741
NC$38.321
ND$38.761
NE$37.761
NH$40.051
NJ$42.07–$43.462
NM$39.061
NV$39.481
NY$38.63–$45.165
OH$38.691
OK$38.051
OR$39.20–$41.102
PA$38.64–$41.042
PR$39.861
RI$40.461
SC$38.561
SD$38.641
TN$37.851
TX$38.52–$40.498
UT$38.841
VA$39.05–$43.522
VI$39.861
VT$38.801
WA$40.34–$43.532
WI$38.071
WV$38.851
WY$39.311

See 92617 in every payment locality

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

Office or facility?

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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 92617 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work0.77× 1.0000.7700
Practice expense0.37× 1.0110.3741
Malpractice0.05× 0.9850.0493
Total RVUs1.1933
Conversion factor× 33.4009

Office rate, Puerto Rico$39.86

Office: (0.77 × 1 + 0.37 × 1.011 + 0.05 × 0.985) × $33.4009 = $39.86

Facility: (0.77 × 1 + 0.19 × 1.011 + 0.05 × 0.985) × $33.4009 = $33.78

Open 92617 in the RVU calculator

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.

Codes related to 92617

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

Codes related to 92617
CodeHow it relatesOffice range, Puerto Rico
Often billed with
92616Swallow evaluation, laryngeal sensory testingRepresents the endoscopic swallowing examination with sensory testing interpreted and reported by 92617.$230.58
Used instead
92613Swallow study, interpretation and report onlyInterpretation and report for endoscopic swallowing evaluation without sensory testing.$35.84
92615FEES interpretation, with sensory testingInterpretation and report for laryngoscopic sensory testing without the swallowing evaluation.$32.16
92612Swallowing endoscopy, video-recorded studyEndoscopic swallowing examination without sensory testing.$201.44

How 92617 has changed in Puerto Rico

92617 · Office / nonfacility

$39.86

Effective 2026-10-01

The base rate is $0.66 higher than on 2025-10-01, moving from $39.20 to $39.86 (1.7%).

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

    $39.20changed to$39.86

    • 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
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $40.33changed to$39.20

    • 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.

  3. March 9, 2024

    RVU24AR

    $39.68changed to$40.33

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $41.08changed to$39.68

    • 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
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $41.00changed to$41.08

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $41.60changed to$41.00

    • 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
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $41.60changed to$41.60

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.35 changed to 0.36

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $42.66changed to$41.60

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.34 changed to 0.35
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $42.59changed to$42.66

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $42.55changed to$42.59

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $40.26changed to$42.55

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.35 changed to 0.34
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $37.64changed to$40.26

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $37.68changed to$37.64

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.04 changed to 0.05

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $37.49changed to$37.68

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $37.61changed to$37.49

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.36 changed to 0.35
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $36.21changed to$37.61

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.39 changed to 0.36
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $36.21

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$39.86$33.78RVU26D
2026-07-01$39.86$33.78RVU26C
2026-04-01$39.86$33.78RVU26B
2026-01-01$39.86$33.78RVU26A
2025-10-01$39.20$38.88RVU25D
2025-07-01$39.20$38.88RVU25C
2025-04-01$39.20$38.88RVU25B
2025-01-01$39.20$38.88RVU25A
2024-10-01$40.33$40.33RVU24D
2024-07-01$40.33$40.33RVU24C
2024-04-01$40.33$40.33RVU24B
2024-03-09$40.33$40.33RVU24AR
2024-01-01$39.68$39.68RVU24A
2023-10-01$41.08$40.74RVU23D
2023-07-01$41.00$40.66RVU23C
2023-04-01$41.00$40.66RVU23B
2023-01-01$41.00$40.66RVU23A
2022-10-01$41.60$41.60RVU22D
2022-07-01$41.60$41.60RVU22C
2022-04-01$41.60$41.60RVU22B
2022-01-01$41.60$41.60RVU22A
2021-10-01$41.60$41.60RVU21D
2021-07-01$41.60$41.60RVU21C
2021-04-01$41.60$41.60RVU21B
2021-01-01$41.60$41.60RVU21A
2020-10-01$42.66$42.66RVU20D
2020-07-01$42.66$42.66RVU20C
2020-04-01$42.66$42.66RVU20B
2020-01-01$42.66$42.66RVU20A
2019-10-01$42.59$42.59RVU19D
2019-07-01$42.59$42.59RVU19C
2019-04-01$42.59$42.59RVU19B
2019-01-01$42.59$42.59RVU19A
2018-10-01$42.55$42.18RVU18D
2018-07-01$42.55$42.18RVU18C
2018-04-01$42.55$42.18RVU18B
2018-01-01$42.55$42.18RVU18AR1
2017-10-01$40.26$40.26RVU17D
2017-07-01$40.26$40.26RVU17C
2017-04-01$40.26$40.26RVU17B
2017-01-01$40.26$40.26RVU17A
2016-10-01$37.64$37.64RVU16D
2016-07-01$37.64$37.64RVU16C
2016-04-01$37.64$37.64RVU16B
2016-01-01$37.64$37.64RVU16A
2015-10-01$37.68$37.68RVU15D
2015-07-01$37.68$37.68RVU15C
2015-04-01$37.49$37.49RVU15B
2015-01-01$37.49$37.49RVU15A
2014-10-01$37.61$37.61RVU14D
2014-07-01$37.61$37.61RVU14C
2014-04-01$37.61$37.61RVU14B
2014-01-01$37.61$37.61RVU14A
2013-10-01$36.21$35.98RVU13D
2013-07-01$36.21$35.98RVU13C
2013-04-01$36.21$35.98RVU13B
2013-01-01$36.21$35.98RVU13AR

Price 92617 for an earlier date of service

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

Browse all communities in Puerto Rico

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
RVUs for 92617PPRRVU2026_Oct_nonQPP.csv, line 11,875 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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