FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

92511 in Redding

Office / nonfacility

$124.72

Base rate per service

Facility setting

$33.57

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

ENT endoscopy

About 92511: Diagnostic nasopharyngeal endoscopy

Reports endoscopic visualization of the nasopharynx, commonly used by an ENT clinician to evaluate obstruction, adenoid tissue, or a suspected lesion.

An ENT clinician typically passes a flexible or rigid endoscope through a nostril to examine the posterior nasal space and nasopharynx, including the area around the eustachian tube openings. Common reasons include persistent nasal obstruction, suspected adenoid enlargement, a visible or suspected nasopharyngeal lesion, or evaluation of unilateral middle-ear effusion. The service may be performed in an office or facility setting.

Report 92511 when the documented examination visualizes the nasopharynx; an examination limited to the nasal cavity or directed at the larynx represents a different service. The record should identify the indication, endoscopic approach, structures examined, and findings. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 92511

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU0.59 · 17%
  • Practice expense (office) RVU2.84 · 82%
  • Malpractice RVU0.04 · 1%

33.9K

Medicare services in 2024 · #933 by national volume

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.

92511 compared with similar codes

Office rates for Redding, from the same CMS release.

31231

Nasal endoscopy

Diagnostic, without sinusoscopy

$206.14

Use 92511 when the endoscopic examination includes the nasopharynx. Use 31231 for diagnostic endoscopic examination focused on the nasal cavity.

92512

Nasal function test

Airflow and resistance

$69.21

92512 represents nasal function testing, not endoscopic visualization. Choose 92511 when the service is direct examination of the nasopharynx.

31575

Laryngoscopy

Flexible, diagnostic

$134.61

31575 examines the larynx by flexible endoscopy. 92511 is for visualization of the nasopharynx, a different anatomic target.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 92511 is $124.86—$0.14 higher than the $124.72 rate in Redding. Both use the same code, release and participation basis.

92511 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $124.72

  2. Bakersfield

    $124.86

    $0.14 higher than Redding

  3. Chico

    $124.72

    The same base rate than Redding

  4. El Centro

    $124.73

    $0.01 higher than Redding

  5. Fresno

    $124.72

    The same base rate than Redding

  6. Hanford-Corcoran

    $124.72

    The same base rate than Redding

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $133.62

    $8.90 higher than Redding

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 92511 ranges from $101.88 in Arkansas to $159.38 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 92511

    Office

    $124.72

    Facility

    $33.57

    The same base rate than Redding for the office setting.

  • Merced

    California · 92511

    Office

    $124.72

    Facility

    $33.57

    The same base rate than Redding for the office setting.

  • Modesto

    California · 92511

    Office

    $124.72

    Facility

    $33.57

    The same base rate than Redding for the office setting.

  • Napa

    California · 92511

    Office

    $146.65

    Facility

    $37.03

    $21.93 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 92511

    Office

    $133.21

    Facility

    $34.91

    $8.49 higher than Redding for the office setting.

  • Rest Of California

    California · 92511

    Office

    $124.72

    Facility

    $33.57

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 92511

    Office

    $125.17

    Facility

    $34.01

    $0.45 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 92511

    Office

    $131.45

    Facility

    $34.73

    $6.73 higher than Redding for the office setting.

  • Salinas

    California · 92511

    Office

    $130.97

    Facility

    $34.58

    $6.25 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 92511

    Office

    $134.47

    Facility

    $35.00

    $9.75 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 92511

    Office

    $155.94

    Facility

    $38.68

    $31.22 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 92511

    Office

    $155.90

    Facility

    $38.63

    $31.18 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 92511

    Office

    $159.38

    Facility

    $39.45

    $34.66 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 92511

    Office

    $159.19

    Facility

    $39.26

    $34.47 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 92511

    Office

    $128.80

    Facility

    $34.07

    $4.08 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 92511

    Office

    $136.09

    Facility

    $35.04

    $11.37 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 92511

    Office

    $131.58

    Facility

    $34.61

    $6.86 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 92511

    Office

    $137.50

    Facility

    $35.37

    $12.78 higher than Redding for the office setting.

  • Stockton

    California · 92511

    Office

    $124.72

    Facility

    $33.57

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 92511

    Office

    $146.58

    Facility

    $36.97

    $21.86 higher than Redding for the office setting.

  • Visalia

    California · 92511

    Office

    $124.72

    Facility

    $33.57

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 92511

    Office

    $124.72

    Facility

    $33.57

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 92511

    Office

    $134.00

    Facility

    $36.03

    $9.28 higher than Redding for the office setting.

  • Miami

    Florida · 92511

    Office

    $121.83

    Facility

    $35.25

    $2.89 lower than Redding for the office setting.

  • Chicago

    Illinois · 92511

    Office

    $118.24

    Facility

    $34.66

    $6.48 lower than Redding for the office setting.

  • Manhattan

    New York · 92511

    Office

    $133.31

    Facility

    $36.67

    $8.59 higher than Redding for the office setting.

  • Alaska*

    Alaska · 92511

    Office

    $131.32

    Facility

    $42.75

    $6.60 higher than Redding for the office setting.

  • Alabama

    Alabama · 92511

    Office

    $103.46

    Facility

    $30.69

    $21.26 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 92511

    Office

    $101.88

    Facility

    $30.44

    $22.84 lower than Redding for the office setting.

  • Arizona

    Arizona · 92511

    Office

    $112.77

    Facility

    $32.18

    $11.95 lower than Redding for the office setting.

  • Colorado

    Colorado · 92511

    Office

    $121.92

    Facility

    $33.42

    $2.80 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 92511

    Office

    $123.88

    Facility

    $34.31

    $0.84 lower than Redding for the office setting.

  • Delaware

    Delaware · 92511

    Office

    $114.73

    Facility

    $32.56

    $9.99 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 92511

    Office

    $118.21

    Facility

    $33.96

    $6.51 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 92511

    Office

    $112.40

    Facility

    $32.89

    $12.32 lower than Redding for the office setting.

  • Atlanta

    Georgia · 92511

    Office

    $117.75

    Facility

    $33.25

    $6.97 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 92511

    Office

    $105.91

    Facility

    $31.73

    $18.81 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 92511

    Office

    $128.33

    Facility

    $33.77

    $3.61 higher than Redding for the office setting.

  • Iowa

    Iowa · 92511

    Office

    $107.03

    Facility

    $30.93

    $17.69 lower than Redding for the office setting.

  • Idaho

    Idaho · 92511

    Office

    $107.61

    Facility

    $31.09

    $17.11 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 92511

    Office

    $109.67

    Facility

    $33.15

    $15.05 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 92511

    Office

    $108.40

    Facility

    $32.47

    $16.32 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 92511

    Office

    $119.63

    Facility

    $34.22

    $5.09 lower than Redding for the office setting.

  • Indiana

    Indiana · 92511

    Office

    $108.29

    Facility

    $31.19

    $16.43 lower than Redding for the office setting.

  • Kansas

    Kansas · 92511

    Office

    $106.13

    Facility

    $30.95

    $18.59 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 92511

    Office

    $105.26

    Facility

    $31.32

    $19.46 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 92511

    Office

    $110.49

    Facility

    $32.22

    $14.23 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 92511

    Office

    $104.94

    Facility

    $31.33

    $19.78 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 92511

    Office

    $134.96

    Facility

    $35.66

    $10.24 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 92511

    Office

    $120.97

    Facility

    $33.40

    $3.75 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 92511

    Office

    $123.46

    Facility

    $34.22

    $1.26 lower than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 92511

    Office

    $117.13

    Facility

    $32.96

    $7.59 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 92511

    Office

    $107.81

    Facility

    $31.29

    $16.91 lower than Redding for the office setting.

  • Southern Maine

    Maine · 92511

    Office

    $114.55

    Facility

    $32.13

    $10.17 lower than Redding for the office setting.

  • Detroit

    Michigan · 92511

    Office

    $113.50

    Facility

    $33.24

    $11.22 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 92511

    Office

    $107.82

    Facility

    $31.89

    $16.90 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 92511

    Office

    $117.71

    Facility

    $32.13

    $7.01 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 92511

    Office

    $110.08

    Facility

    $31.99

    $14.64 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 92511

    Office

    $111.35

    Facility

    $32.17

    $13.37 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 92511

    Office

    $102.78

    Facility

    $31.08

    $21.94 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 92511

    Office

    $102.37

    Facility

    $30.76

    $22.35 lower than Redding for the office setting.

  • Montana**

    Montana · 92511

    Office

    $115.90

    Facility

    $32.73

    $8.82 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 92511

    Office

    $109.06

    Facility

    $31.47

    $15.66 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 92511

    Office

    $115.11

    Facility

    $31.94

    $9.61 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 92511

    Office

    $107.77

    Facility

    $31.00

    $16.95 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 92511

    Office

    $119.62

    Facility

    $33.05

    $5.10 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 92511

    Office

    $132.41

    Facility

    $35.94

    $7.69 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 92511

    Office

    $125.55

    Facility

    $34.73

    $0.83 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 92511

    Office

    $108.30

    Facility

    $32.03

    $16.42 lower than Redding for the office setting.

  • Nevada**

    Nevada · 92511

    Office

    $115.77

    Facility

    $32.52

    $8.95 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 92511

    Office

    $136.24

    Facility

    $37.35

    $11.52 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 92511

    Office

    $126.08

    Facility

    $35.01

    $1.36 higher than Redding for the office setting.

  • Queens

    New York · 92511

    Office

    $135.02

    Facility

    $36.71

    $10.30 higher than Redding for the office setting.

  • Rest Of New York

    New York · 92511

    Office

    $110.76

    Facility

    $31.75

    $13.96 lower than Redding for the office setting.

  • Ohio

    Ohio · 92511

    Office

    $107.66

    Facility

    $31.73

    $17.06 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 92511

    Office

    $105.45

    Facility

    $31.18

    $19.27 lower than Redding for the office setting.

  • Portland

    Oregon · 92511

    Office

    $126.40

    Facility

    $34.00

    $1.68 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 92511

    Office

    $115.12

    Facility

    $32.29

    $9.60 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 92511

    Office

    $120.40

    Facility

    $33.82

    $4.32 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 92511

    Office

    $108.05

    Facility

    $31.70

    $16.67 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 92511

    Office

    $116.92

    Facility

    $32.84

    $7.80 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 92511

    Office

    $119.26

    Facility

    $33.35

    $5.46 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 92511

    Office

    $108.49

    Facility

    $31.64

    $16.23 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 92511

    Office

    $115.01

    Facility

    $31.85

    $9.71 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 92511

    Office

    $106.65

    Facility

    $31.05

    $18.07 lower than Redding for the office setting.

  • Austin

    Texas · 92511

    Office

    $121.29

    Facility

    $33.30

    $3.43 lower than Redding for the office setting.

  • Beaumont

    Texas · 92511

    Office

    $107.27

    Facility

    $31.59

    $17.45 lower than Redding for the office setting.

  • Brazoria

    Texas · 92511

    Office

    $114.91

    Facility

    $32.49

    $9.81 lower than Redding for the office setting.

  • Dallas

    Texas · 92511

    Office

    $115.51

    Facility

    $32.67

    $9.21 lower than Redding for the office setting.

  • Fort Worth

    Texas · 92511

    Office

    $114.58

    Facility

    $32.57

    $10.14 lower than Redding for the office setting.

  • Galveston

    Texas · 92511

    Office

    $115.16

    Facility

    $32.58

    $9.56 lower than Redding for the office setting.

  • Houston

    Texas · 92511

    Office

    $115.90

    Facility

    $33.31

    $8.82 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 92511

    Office

    $110.93

    Facility

    $32.01

    $13.79 lower than Redding for the office setting.

  • Utah

    Utah · 92511

    Office

    $110.07

    Facility

    $31.90

    $14.65 lower than Redding for the office setting.

  • Virginia

    Virginia · 92511

    Office

    $113.90

    Facility

    $32.14

    $10.82 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 92511

    Office

    $116.92

    Facility

    $32.84

    $7.80 lower than Redding for the office setting.

  • Vermont

    Vermont · 92511

    Office

    $114.29

    Facility

    $31.96

    $10.43 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 92511

    Office

    $120.87

    Facility

    $33.29

    $3.85 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 92511

    Office

    $138.17

    Facility

    $36.13

    $13.45 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 92511

    Office

    $110.99

    Facility

    $31.32

    $13.73 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 92511

    Office

    $104.05

    Facility

    $31.78

    $20.67 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 92511

    Office

    $115.55

    Facility

    $32.39

    $9.17 lower than Redding for the office setting.

See how rates vary across the country

92511 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$101.88

$142.05

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$131.321
AL$103.461
AR$101.881
AZ$112.771
CA$124.72–$159.3829
CO$121.921
CT$123.881
DC$134.001
DE$114.731
FL$112.40–$121.833
GA$105.91–$117.752
GU$128.331
HI$128.331
IA$107.031
ID$107.611
IL$108.40–$119.634
IN$108.291
KS$106.131
KY$105.261
LA$104.94–$110.492
MA$120.97–$134.962
MD$117.13–$134.003
ME$107.81–$114.552
MI$107.82–$113.502
MN$117.711
MO$102.78–$111.353
MS$102.371
MT$115.901
NC$109.061
ND$115.111
NE$107.771
NH$119.621
NJ$125.55–$132.412
NM$108.301
NV$115.771
NY$110.76–$136.245
OH$107.661
OK$105.451
OR$115.12–$126.402
PA$108.05–$120.402
PR$116.921
RI$119.261
SC$108.491
SD$115.011
TN$106.651
TX$107.27–$121.298
UT$110.071
VA$113.90–$134.002
VI$116.921
VT$114.291
WA$120.87–$138.172
WI$110.991
WV$104.051
WY$115.551

Explore 92511 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 92511 in Redding, the physician’s office rate is $124.72 and the facility-setting rate is $33.57: a difference of $91.15.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 92511 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$137.19

$124.72 × 110% = $137.19

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 92511 in Redding.

PPRRVU2026_Oct_nonQPP.csv

11,781

Code
92511
Physician work
0.59
Practice expense
2.84
Malpractice
0.04

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 92511 in Redding
ComponentRVULocality factorAdjusted
Physician work0.59× 1.0170.6000
Practice expense2.84× 1.0963.1126
Malpractice0.04× 0.5360.0214
Total RVUs3.7341
Conversion factor× 33.4009

Office / nonfacility rate, Redding$124.72

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 92511 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.591.017
Practice expense2.841.096
Malpractice0.040.536

(0.59 × 1.017 + 2.84 × 1.096 + 0.04 × 0.536) × $33.4009 = $124.72

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.591.017
Practice expense0.351.096
Malpractice0.040.536

(0.59 × 1.017 + 0.35 × 1.096 + 0.04 × 0.536) × $33.4009 = $33.57

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

92511 · Office / nonfacility

$124.72

Effective 2026-10-01

The base rate is $4.64 higher than on 2025-10-01, moving from $120.08 to $124.72 (3.9%).

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

    $120.08changed to$124.72

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.61 changed to 0.59
    • Practice expense RVU 2.81 changed to 2.84
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $120.08

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$124.72$33.57RVU26D
2026-07-01$124.72$33.57RVU26C
2026-04-01$124.72$33.57RVU26B
2026-01-01$124.72$33.57RVU26A
2025-10-01$120.08$38.06RVU25D
2025-07-01$120.08$38.06RVU25C
2025-04-01$120.08$38.06RVU25B
2025-01-01$120.08$38.06RVU25A

92511 billing questions

How is 92511 different from diagnostic nasal endoscopy?

92511 is selected when the documented endoscopic examination reaches the nasopharynx. A nasal endoscopy code such as 31231 is directed to examination of the nasal cavity.

Can modifier 50 be used when both sides are examined?

No. CMS identifies bilateral adjustment as inappropriate for 92511; do not use modifier 50 to represent examination through both nostrils.

What documentation supports reporting 92511?

Document the clinical reason for the examination, the endoscopic approach, the nasopharyngeal structures visualized, and the findings. The note should support that the examination extended beyond the nasal cavity.

Is same-day preoperative or postoperative care included?

Yes. The code has a 0-day global period, which includes same-day preoperative and postoperative care.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment requires documented medical necessity. CMS does not permit co-surgeons or team surgery for this code.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 92511PPRRVU2026_Oct_nonQPP.csv, line 11,781 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet