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CMS RVU26D · Effective 2026-10-01

92613 Swallow study Medicare reimbursement rates in Oklahoma

Reports the interpretation of a recorded endoscopic swallowing study, such as a FEES used to assess pharyngeal swallowing and airway protection. Compare 92613 office and facility rates across CMS payment localities in Oklahoma.

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 92613 in Oklahoma?

Oklahoma 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

$34.23

1 of 1 localities have a supported rate.

Payment area: Oklahoma

One mapped payment locality.

Facility setting

$29.16

1 of 1 localities have a supported rate.

Payment area: Oklahoma

One mapped payment locality.

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.

Find 92613 in your payment locality →

Swallowing evaluation

About 92613: Endoscopic swallow study interpretation and report

Reports the interpretation of a recorded endoscopic swallowing study, such as a FEES used to assess pharyngeal swallowing and airway protection.

This service covers interpreting and documenting findings from a flexible endoscopic evaluation of swallowing recorded by cine or video. A speech-language pathologist or physician may assess findings such as pharyngeal residue, penetration or aspiration, and the response to tested consistencies or compensatory strategies. FEES is commonly used for patients with dysphagia when clinicians need to observe swallowing through the pharynx and larynx, including at the bedside or in an outpatient setting.

Report 92613 for the interpretation and report, rather than for performing or recording the endoscopic examination itself. The report should describe the relevant findings and their clinical significance, including how they inform swallowing recommendations when assessed. Code 92612 identifies the recorded endoscopic swallowing examination and is the closely paired service; the documentation should make clear which work was performed and reported. Distinguish this interpretation from a clinical swallowing evaluation without endoscopy and from a fluoroscopic swallowing study.

Where the value comes from

  • Work RVU0.69 · 64%
  • Practice expense (office) RVU0.34 · 32%
  • Malpractice RVU0.04 · 4%

3.4K

Medicare services in 2024 · #2088 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.

92613 compared with similar codes

Office rates for Oklahoma, from the same CMS release.

92612

Swallowing endoscopy

Video-recorded study

$182.60

92612 identifies the recorded flexible endoscopic swallowing examination; 92613 is for interpreting and reporting that recorded study.

92610

Swallow evaluation

Clinical, noninstrumental assessment

$80.37

Use 92610 for a clinical evaluation of swallowing function without the recorded endoscopic examination associated with 92613.

92611

Swallow study

Fluoroscopic evaluation

$86.21

92611 describes a fluoroscopic swallowing evaluation. 92613 concerns interpretation of a recorded endoscopic swallowing study.

92617

FEES interpretation

With sensory testing

$38.05

92617 is the interpretation-and-report code when the endoscopic swallowing study includes laryngeal sensory testing; 92613 is for the swallowing study without that combined testing.

Compare 92613 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

Office and facility base rates · shared scale starting at $0

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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 92613 in Oklahoma.

PPRRVU2026_Oct_nonQPP.csv

11,871

Code
92613
Physician work
0.69
Practice expense
0.34
Malpractice
0.04

GPCI2026.csv

86

Locality
Oklahoma
Physician work
1.000
Practice expense
0.893
Malpractice
0.777
Office / nonfacility calculation for 92613 in Oklahoma
ComponentRVULocality factorAdjusted
Physician work0.69× 1.0000.6900
Practice expense0.34× 0.8930.3036
Malpractice0.04× 0.7770.0311
Total RVUs1.0247
Conversion factor× 33.4009

Office / nonfacility rate, Oklahoma$34.23

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.691
Practice expense0.340.893
Malpractice0.040.777

(0.69 × 1 + 0.34 × 0.893 + 0.04 × 0.777) × $33.4009 = $34.23

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.691
Practice expense0.170.893
Malpractice0.040.777

(0.69 × 1 + 0.17 × 0.893 + 0.04 × 0.777) × $33.4009 = $29.16

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.

92613 billing questions

Does 92613 include performing or recording the FEES?

No. It represents interpretation and reporting of the recorded endoscopic swallowing study; 92612 identifies the recorded examination.

Can 92613 be reported with 92612?

Yes, when the recorded examination and its interpretation and report are both performed and documented for the study.

What should the report document?

Document the endoscopic swallowing findings and their interpretation, such as residue, airway invasion, and responses to tested consistencies or strategies when assessed.

How is 92613 different from 92617?

92613 reports interpretation of an endoscopic swallowing study. 92617 is the interpretation-and-report code for an endoscopic swallowing study that includes laryngeal sensory testing.

Is 92613 selected by elapsed time?

No. The code describes interpretation and reporting of the recorded study, not a time-based 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.

RVUs for 92613PPRRVU2026_Oct_nonQPP.csv, line 11,871 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)