CPT code 92612: Swallowing endoscopy2026 Medicare rate & RVUs in Alaska

A clinician uses flexible endoscopy with video recording to assess swallowing, including pharyngeal function and signs of penetration or aspiration.

CMS RVU26DEffective Oct 1, 20261 payment locality8.7K Medicare services in 2024

Medicare pays $229.88 for 92612 in the office in Alaska (Alaska*). Which amount applies depends on the service address.

$229.88Office (non-facility)
$74.78Hospital or facility

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 92612 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Alaska
  2. What 92612 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 92612 covers

This service is a flexible endoscopic examination of swallowing, commonly called FEES. A clinician passes a flexible scope through the nose to view the pharynx while the patient swallows test material; the recorded examination helps assess residue, airway invasion, and swallowing-related anatomy. Speech-language pathologists and physicians commonly perform it in outpatient clinics, hospitals, or other settings equipped for endoscopic swallowing assessment.

Report 92612 for performing the video-recorded endoscopic study, rather than for a clinical swallowing assessment without endoscopy or a fluoroscopic study. The record should support the endoscopic procedure and describe the swallowing trials and findings. If only interpretation and a report are provided, 92613 describes that service. CMS assigns separate office and facility practice-expense values, so the fee-schedule valuation reflects the setting where the service is furnished.

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.

92612 in Alaska*

92612 office and facility rates by payment locality
Payment localityOfficeFacility
Alaska*$229.88$74.78

How the 92612 rate is calculated

Each of 92612’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 · 92612

RVUs × geographic indexes × conversion factor

Work1.24

1.24 RVUs× 1.000 GPCI

Practice expense4.69

4.69 RVUs× 1.000 GPCI

Malpractice0.05

0.05 RVUs× 1.000 GPCI

Adjusted RVUs

5.9800

Conversion factor

$33.4009

Medicare rate

$199.74

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 92612

92612 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 · 92612

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$199.74

Non-facility (office)
$199.74
Facility
$54.11

Higher because the practice carries its own overhead.

92612 compared with similar codes

Compare codes · National

5 codes, side by side

  • 92612

    Swallowing endoscopy1.24 wRVU

    $199.74

  • 92610

    Swallow evaluation1.3 wRVU

    $84.84−$114.90

  • 92611

    Swallow study1.31 wRVU

    $91.52−$108.22

  • 92613

    Swallow study0.69 wRVU

    $35.74−$164.00

  • 92616

    Swallow evaluation1.83 wRVU

    $228.80+$29.06

How to choose

92610Swallow evaluation
92610 is a clinical swallowing evaluation without endoscopic visualization. Choose 92612 when the service includes flexible endoscopy and video recording.
92611Swallow study
92611 evaluates swallowing with fluoroscopic imaging, often during contrast swallows. 92612 uses a flexible endoscope to view the pharynx during swallowing.
92613Swallow study
92613 is for interpretation and report only. 92612 describes performance of the video-recorded endoscopic swallowing study.
92616Swallow evaluation
92616 includes laryngeal sensory testing as part of the endoscopic swallowing evaluation. 92612 describes the video-recorded endoscopic swallowing study without that sensory-testing element.

92612 billing questions

When should 92612 be chosen over 92610?

Use 92612 when the swallowing assessment includes flexible endoscopy with video recording. A clinical swallowing evaluation without endoscopic visualization is represented by 92610.

How does 92612 differ from 92611?

92612 assesses swallowing through a flexible endoscope passed through the nose. 92611 is a fluoroscopic swallowing study, typically performed with radiographic imaging and contrast material.

Can 92612 and 92613 both be reported?

92612 represents performance of the video-recorded endoscopic study; 92613 represents interpretation and report only. Report 92613 when that interpretation-and-report service is furnished, not automatically as an add-on to 92612.

Does 92612 include sensory testing?

No. When the endoscopic swallowing examination includes laryngeal sensory testing, consider 92616 rather than 92612 alone.

Is 92612 reported by time or units?

The code describes the video-recorded endoscopic swallowing study, not a timed service. Document the examination and swallowing trials performed.

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 92612PPRRVU2026_Oct_nonQPP.csv, line 11,870 (RVU26D)
Geographic factors for Alaska*GPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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