Billing code 92614: Laryngeal sensory testMedicare rate & RVUs
A recorded flexible endoscopic laryngeal sensory test evaluates protective laryngeal sensation, often when dysphagia or aspiration raises concern about impaired sensation.
Medicare pays $151.64 for 92614 nationally in the office and $54.11 in a hospital or facility. Local office rates run $135.41–$203.10.
Medicare rate · 92614
Laryngeal sensory test
- Work RVUs
- 1.24
- Total RVUs
- 4.54
- Global days
- XXX
National rate · 2026
$151.64
Office setting, before claim adjustments.
See every locality for 92614 →Billed by an NP, PA or therapist? →
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 10 sections
What 92614 covers
This service records flexible endoscopic laryngeal sensory testing, commonly performed with a transnasal endoscope and controlled air pulses to assess laryngeal sensation and protective responses. It may be used when a patient with dysphagia, suspected aspiration, or reduced awareness of airway entry needs sensory assessment. An otolaryngologist or a speech-language pathologist with appropriate training may perform the procedure, depending on the clinical setting and team.
Report 92614 for the recorded sensory test itself, rather than a sensory test combined with a full endoscopic swallowing evaluation. The record should support the reason for testing and describe the procedure and findings. Distinguish this service from 92615, which represents interpretation and report only, and from 92616, which includes an endoscopic swallowing evaluation with laryngeal sensory testing. CMS payment rules supplied for this code contain no additional payment instructions.
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.
Where 92614 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$135.41 to $203.10
109 of 109 payment localities
92614 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.
$135.41
$182.45
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 | $178.48 | 1 |
| AL | $137.24 | 1 |
| AR | $135.41 | 1 |
| AZ | $148.00 | 1 |
| CA | $161.80–$203.10 | 29 |
| CO | $158.62 | 1 |
| CT | $161.22 | 1 |
| DC | $173.37 | 1 |
| DE | $150.35 | 1 |
| FL | $147.89–$159.14 | 3 |
| GA | $140.34–$153.90 | 2 |
| GU | $165.62 | 1 |
| HI | $165.62 | 1 |
| IA | $141.23 | 1 |
| ID | $141.93 | 1 |
| IL | $143.35–$156.40 | 4 |
| IN | $142.71 | 1 |
| KS | $140.26 | 1 |
| KY | $139.46 | 1 |
| LA | $139.11–$145.53 | 2 |
| MA | $157.63–$174.11 | 2 |
| MD | $153.19–$173.37 | 3 |
| ME | $142.23–$149.93 | 2 |
| MI | $142.48–$149.23 | 2 |
| MN | $153.37 | 1 |
| MO | $136.65–$146.45 | 3 |
| MS | $136.07 | 1 |
| MT | $151.64 | 1 |
| NC | $143.67 | 1 |
| ND | $150.45 | 1 |
| NE | $142.06 | 1 |
| NH | $155.83 | 1 |
| NJ | $163.45–$171.70 | 2 |
| NM | $143.06 | 1 |
| NV | $151.41 | 1 |
| NY | $145.63–$176.46 | 5 |
| OH | $142.24 | 1 |
| OK | $139.61 | 1 |
| OR | $150.61–$163.80 | 2 |
| PA | $142.66–$157.21 | 2 |
| PR | $152.80 | 1 |
| RI | $155.78 | 1 |
| SC | $143.11 | 1 |
| SD | $150.31 | 1 |
| TN | $140.86 | 1 |
| TX | $141.76–$157.77 | 8 |
| UT | $144.94 | 1 |
| VA | $149.21–$173.37 | 2 |
| VI | $152.80 | 1 |
| VT | $149.57 | 1 |
| WA | $157.44–$177.91 | 2 |
| WI | $145.71 | 1 |
| WV | $138.33 | 1 |
| WY | $151.12 | 1 |
How the 92614 rate is calculated
Each of 92614’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 · 92614
RVUs × geographic indexes × conversion factor
Work1.24
1.24 RVUs× 1.000 GPCI
Practice expense3.24
3.24 RVUs× 1.000 GPCI
Malpractice0.06
0.06 RVUs× 1.000 GPCI
Adjusted RVUs
4.5400
Conversion factor
$33.4009
Medicare rate
$151.64
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 92614
92614 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 · 92614
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$151.64
- Non-facility (office)
- $151.64
- Facility
- $54.11
Higher because the practice carries its own overhead.
92614 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 92615FEES interpretation
- 92614 represents recorded laryngeal sensory testing; 92615 represents interpretation and report only.
- 92616Swallow evaluation
- 92616 includes an endoscopic swallowing evaluation plus laryngeal sensory testing. 92614 is for laryngeal sensory testing without the combined swallowing evaluation.
- 92612Swallowing endoscopy
- 92612 is a recorded endoscopic swallowing evaluation without laryngeal sensory testing. Choose 92614 when the recorded service is sensory testing.
- 92613Swallow study
- 92613 is interpretation and report only for an endoscopic swallowing evaluation; it does not represent recorded laryngeal sensory testing.
92614 billing questions
How does 92614 differ from 92616?
92614 represents recorded laryngeal sensory testing. Use 92616 when the service also includes an endoscopic swallowing evaluation with sensory testing.
When is 92615 reported instead?
92615 is for interpretation and report only for laryngeal sensory testing. 92614 represents the recorded testing service.
Is this the same as a standard FEES?
No. A standard endoscopic swallowing evaluation without laryngeal sensory testing is represented by 92612 for the recorded study or 92613 for interpretation and report only.
What documentation supports 92614?
Document the clinical reason for evaluating laryngeal sensation, the recorded testing performed, and the findings. The record should make clear whether a full swallowing evaluation was also performed.
Who typically performs the test?
An otolaryngologist or a speech-language pathologist with appropriate training may perform laryngeal sensory testing as part of dysphagia or airway-protection assessment.
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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