Billing code 92612: Swallowing endoscopyMedicare rate & RVUs in Florida
A clinician uses flexible endoscopy with video recording to assess swallowing, including pharyngeal function and signs of penetration or aspiration.
Medicare pays $193.68–$208.71 for 92612 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.
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 9 sections
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.
Where 92612 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$193.68 to $208.71
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $203.12 | $55.60 |
| Miami | $208.71 | $57.11 |
| Rest Of Florida | $193.68 | $54.46 |
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
Swap in your local Medicare rate.
Work 1.24Practice expense 4.69Malpractice 0.05
All indexes start 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).
Non-facility (office) rate · national
$199.74
The facility rate would be $54.11 (+$145.63). In a facility, the facility bills its own costs separately.
92612 compared with similar codes
Compare codes
92612 vs 92610 vs 92611 vs 92613 vs 92616: national Medicare rates
Swap in your local Medicare rate.
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
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