$81.47
Use 92610 for a clinical swallowing-function assessment. Use 92611 when the evaluation is conducted with recorded fluoroscopic imaging.
On this page
CMS RVU26D · Effective 2026-10-01
92611 Swallow study Medicare reimbursement rates in Nebraska
A speech-language pathologist evaluates swallowing during recorded fluoroscopy to assess bolus movement and identify problems such as penetration or aspiration. Compare 92611 office and facility rates across CMS payment localities in Nebraska.
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 92611 in Nebraska?
Nebraska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$86.93
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
No 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.
Speech-language pathology
About 92611: Videofluoroscopic swallowing evaluation
A speech-language pathologist evaluates swallowing during recorded fluoroscopy to assess bolus movement and identify problems such as penetration or aspiration.
A videofluoroscopic swallowing evaluation uses moving X-ray images to examine how a patient handles food and liquid boluses. A speech-language pathologist observes and records swallowing, commonly in a radiology suite with a radiologist involved in the imaging service. The study can show oral and pharyngeal bolus movement and help identify penetration, aspiration, or swallowing strategies that improve safety. Barium-containing consistencies are used so the bolus can be seen on fluoroscopy.
Report 92611 for the speech-language pathologist’s fluoroscopic swallowing evaluation, rather than a bedside clinical assessment or an endoscopic examination. Documentation should support the need for instrumental assessment and describe the tested consistencies, observed swallowing findings, and resulting recommendations. CMS classifies this as a therapy service, so the professional component modifier is not used with 92611. The radiologist’s distinct radiologic service may be reported with 74230 when performed and documented; that code does not replace the speech-language pathologist’s evaluation.
CMS billing rules for 92611
- Professional and technical components
- Therapy service: the professional component modifier does not apply.
Where the value comes from
- Work RVU1.31 · 48%
- Practice expense (office) RVU1.38 · 50%
- Malpractice RVU0.05 · 2%
10.8K
Medicare services in 2024 · #1432 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.
92611 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$186.64
92612 describes an endoscopic swallowing examination. 92611 uses fluoroscopy to observe bolus movement.
$111.59
74230 represents the radiologic swallowing examination; 92611 represents the speech-language pathologist’s evaluation during fluoroscopy.
Compare 92611 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.
1 of 1 payment localities
Nebraska →
Office / nonfacility
$86.93
Facility
Unavailable
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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 92611 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
11,869
- Code
- 92611
- Physician work
- 1.31
- Practice expense
- 1.38
- Malpractice
- 0.05
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.31 | × 1.000 | 1.3100 |
| Practice expense | 1.38 | × 0.923 | 1.2737 |
| Malpractice | 0.05 | × 0.378 | 0.0189 |
| Total RVUs | 2.6026 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$86.93
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.31 | 1 |
| Practice expense | 1.38 | 0.923 |
| Malpractice | 0.05 | 0.378 |
(1.31 × 1 + 1.38 × 0.923 + 0.05 × 0.378) × $33.4009 = $86.93
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.
92611 billing questions
How is 92611 different from 92610?
92611 describes a swallowing evaluation performed with fluoroscopic imaging and recording. 92610 is a clinical swallowing-function evaluation without that fluoroscopic study.
Can 92611 be reported with 74230?
They represent distinct services: the speech-language pathologist’s swallowing evaluation and the radiologic swallowing examination. Both may be reported when each service is performed and documented.
Should modifier 26 be appended to 92611?
No. CMS identifies 92611 as a therapy service for which the professional component modifier does not apply.
How does 92611 differ from 92612?
92611 uses fluoroscopy to observe swallowing. 92612 describes an endoscopic swallowing evaluation, using a different examination method.
What documentation supports 92611?
Document why instrumental assessment was needed, the consistencies tested, fluoroscopic swallowing observations, and the clinical recommendations based on the study.
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.
11,86692608,,Ex for speech device rx addl,A,,0.70,0.73,,0.73,NA,0.00,1.43,1.43,7,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,86792609,,Use of speech device service,A,,1.50,1.56,,1.56,NA,0.01,3.07,3.07,7,XXX,0.00,0.00,0.00,5,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,86892610,,Evaluate swallowing function,A,,1.30,1.23,,0.42,,0.01,2.54,1.73,7,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,86992611,,Motion fluoroscopy/swallow,A,,1.31,1.38,,1.38,NA,0.05,2.74,2.74,7,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,87092612,,Endoscopy swallow (fees) vid,A,,1.24,4.69,,0.33,,0.05,5.98,1.62,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,87192613,,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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068