92610 is a clinical swallowing evaluation without endoscopic visualization. Choose 92612 when the service includes flexible endoscopy and video recording.
On this page
CMS RVU26D · Effective 2026-10-01
92612 Swallowing endoscopy Medicare reimbursement rates in Michigan
A clinician uses flexible endoscopy with video recording to assess swallowing, including pharyngeal function and signs of penetration or aspiration. Compare 92612 office and facility rates across CMS payment localities in Michigan.
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.
What does Medicare pay for 92612 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$186.32–$195.40
2 of 2 localities have a supported rate.
Facility setting
$53.37–$54.87
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Swallowing evaluation
About 92612: Endoscopic swallowing evaluation with video
A clinician uses flexible endoscopy with video recording to assess swallowing, including pharyngeal function and signs of penetration or aspiration.
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.
Where the value comes from
- Work RVU1.24 · 21%
- Practice expense (office) RVU4.69 · 78%
- Malpractice RVU0.05 · 1%
8.7K
Medicare services in 2024 · #1547 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.
92612 compared with similar codes
Office rates for Michigan, from the same CMS release.
92611 evaluates swallowing with fluoroscopic imaging, often during contrast swallows. 92612 uses a flexible endoscope to view the pharynx during swallowing.
92613 is for interpretation and report only. 92612 describes performance of the video-recorded endoscopic swallowing study.
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.
Compare 92612 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Detroit →
Office / nonfacility
$195.40
Facility
$54.87
Rest Of Michigan →
Office / nonfacility
$186.32
Facility
$53.37
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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 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.
