Billing code 92613: Swallow studyMedicare rate & RVUs in Texas
Reports the interpretation of a recorded endoscopic swallowing study, such as a FEES used to assess pharyngeal swallowing and airway protection.
Medicare pays $34.62–$36.35 for 92613 in the office in Texas, from Beaumont to Houston. 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 92613 covers
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.
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 92613 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$34.62 to $36.35
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | $36.29 | $30.28 |
| Beaumont | $34.62 | $29.45 |
| Brazoria | $35.53 | $29.90 |
| Dallas | $35.71 | $30.06 |
| Fort Worth | $35.62 | $30.02 |
| Galveston | $35.61 | $29.98 |
| Houston | $36.35 | $30.71 |
| Rest Of Texas | $35.03 | $29.64 |
How the 92613 rate is calculated
Each of 92613’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 · 92613
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.69Practice expense 0.34Malpractice 0.04
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 92613
92613 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 · 92613
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$35.74
The facility rate would be $30.06 (+$5.68). In a facility, the facility bills its own costs separately.
92613 compared with similar codes
Compare codes
92613 vs 92612 vs 92610 vs 92611 vs 92617: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 92612Swallowing endoscopy
- 92612 identifies the recorded flexible endoscopic swallowing examination; 92613 is for interpreting and reporting that recorded study.
- 92610Swallow evaluation
- Use 92610 for a clinical evaluation of swallowing function without the recorded endoscopic examination associated with 92613.
- 92611Swallow study
- 92611 describes a fluoroscopic swallowing evaluation. 92613 concerns interpretation of a recorded endoscopic swallowing study.
- 92617FEES interpretation
- 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.
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 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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