$186.32–$195.40
Use 92612 for endoscopic swallowing evaluation without the laryngeal sensory-testing service. 92616 includes administration and evaluation of sensory stimuli to the laryngeal adductor mechanism.
On this page
CMS RVU26D · Effective 2026-10-01
92616 Swallow evaluation Medicare reimbursement rates in Michigan
Flexible endoscopic swallowing evaluation with laryngeal sensory testing assesses swallowing function and sensory response using recorded endoscopic observation and applied stimuli. Compare 92616 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 92616 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
$214.71–$224.61
2 of 2 localities have a supported rate.
Facility setting
$78.71–$80.86
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 assessment
About 92616: Endoscopic swallow evaluation with sensory testing
Flexible endoscopic swallowing evaluation with laryngeal sensory testing assesses swallowing function and sensory response using recorded endoscopic observation and applied stimuli.
A clinician passes a flexible endoscope through the nose to view the pharynx and larynx during swallowing. The examination includes sensory testing by delivering stimuli to the laryngeal adductor mechanism and evaluating the response. Speech-language pathologists and otolaryngologists commonly perform or participate in this assessment in outpatient clinics, hospitals, and other settings where swallowing disorders are evaluated. Recorded views help document findings such as airway protection, residue, and the response to sensory stimulation.
Report 92616 for the endoscopic swallowing evaluation that includes this laryngeal sensory testing, rather than a swallowing assessment without endoscopy or sensory testing. The record should identify the endoscopic examination, the stimuli administered, observed sensory responses, swallowing findings, and the clinical interpretation. When the work is divided and only interpretation and reporting are performed, 92617 is the related code to consider. CMS values 92616 under the Physician Fee Schedule using work, practice-expense, and malpractice inputs; practice-expense values differ by office and facility setting.
Where the value comes from
- Work RVU1.83 · 27%
- Practice expense (office) RVU4.95 · 72%
- Malpractice RVU0.07 · 1%
1.7K
Medicare services in 2024 · #2596 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.
92616 compared with similar codes
Office rates for Michigan, from the same CMS release.
$142.48–$149.23
Both involve endoscopic swallowing assessment and sensory testing, but 92616 identifies sensory testing through stimuli to the laryngeal adductor mechanism. Match the code to the documented procedure.
$38.89–$40.46
92616 describes the endoscopic evaluation with sensory testing; 92617 is for interpretation and reporting only when that work is performed separately.
$87.72–$91.05
92611 evaluates swallowing with motion fluoroscopy. 92616 uses flexible endoscopy and includes laryngeal sensory testing.
Compare 92616 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
$224.61
Facility
$80.86
Rest Of Michigan →
Office / nonfacility
$214.71
Facility
$78.71
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92616 billing questions
How does 92616 differ from 92612?
92616 includes laryngeal sensory testing during the endoscopic swallowing evaluation. Use 92612 for the endoscopic evaluation without that sensory-testing element.
How does 92616 differ from 92614?
92616 specifically describes sensory testing through administration of stimuli to the laryngeal adductor mechanism. Select the code that matches the sensory-testing service actually performed and documented.
When should 92617 be considered?
92617 describes interpretation and reporting only for the endoscopic swallowing evaluation with laryngeal sensory testing. Consider it when that interpretive work is performed separately from the examination.
What documentation supports 92616?
Document the endoscopic examination, sensory stimuli administered, laryngeal response, swallowing observations, and the resulting clinical assessment.
Can a nonendoscopic swallowing evaluation be reported as 92616?
No. 92616 describes an endoscopic swallowing evaluation with laryngeal sensory testing; a nonendoscopic functional assessment is a different service.
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.
11,87192613,,Endoscopy swallow (fees) i&r,A,,0.69,0.34,,0.17,,0.04,1.07,0.90,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,87292614,,Laryngoscopic sensory vid,A,,1.24,3.24,,0.32,,0.06,4.54,1.62,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,87392615,,Laryngoscopic sensory i&r,A,,0.61,0.31,,0.15,,0.04,0.96,0.80,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,87492616,,Fees w/laryngeal sense test,A,,1.83,4.95,,0.49,,0.07,6.85,2.39,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,87592617,,Fees w/laryngeal sense i&r,A,,0.77,0.37,,0.19,,0.05,1.19,1.01,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,87692618,,Ex for nonspeech dev rx add,B,+,0.65,0.30,,0.14,,0.04,0.99,0.83,9,ZZZ,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
11,87792620,,Auditory function 60 min,A,,1.50,1.14,,0.41,,0.01,2.65,1.92,9,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00