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See a sample rate comparisonCPT 92610 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Evaluation Of Oral And Pharyngeal Swallowing Function
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Otorhinolaryngologic Services and Procedures |
| Common Place of Service | 11 - Office |
| Common Modifiers | GN - Services delivered under an outpatient speech language pathology plan of care KX - Requirements specified in the medical policy have been met |
| Complexity Level | Low |
| Medicare Fee Schedule | $84.84 national non-facility rate (2026) · View Medicare rates for 92610 |
| Medicaid Fee Schedule | $72.14 median of the 7 states in the free preview · View Medicaid rates for 92610 |
National average reimbursement for CPT 92610 by major payers:
$106.61
$116.17
$118.62
$137.78
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CPT 92610
5 of 25 sample ratesHigher to lower in this preview
Laura Hofkens
$216.67Published rateNeuro-Hospitalist Of Clear Lake, PLLC
Neurohospitalist Of Clear Lake PLLC
$143.52Published rateSiddharth Arora
Precision Orthopedics And Sports Medicine
$103.41Published rateCaitlin Pinciotti
$89.13Published rateVariety Children'S Hospital, Nicklaus Children'S Hospital
Variety Childrens Hospital
$40.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 92610 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92610 code is part of the Medicine Services and Procedures services used for Special Otorhinolaryngologic Services and Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 92610 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 92610-CPT | Low | Evaluation Of Oral And Pharyngeal Swallowing Function |
| 92611-CPT | Low | Swallowing Evaluation, Evaluation Of Swallowing Ability Using A Scope (Fluoroscope). Fluoroscopy Is An X-Ray Technique That Shows Movement In Real-Time With The Aid Of Contrast Dye. |
| 92612-CPT | Moderate | Flex Fiberoptic Endoscopic Eval Of Swallowing By Cine Or Vid, Flexible Fiberoptic Endoscopic Evaluation Of Swallowing By Cine Or Vid |
| 92613-CPT | Low | Flexible Fiberoptic Endoscopic, Flexible Fiberoptic Endoscopic Evaluation Of Swallowing By Cine Or Video Recording Interpretation And Report Only |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92610. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92610 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
To find the cost of a medical procedure, you generally need to know the specific CPT code for the service and your location. For a precise estimate based on your specific situation, you can use a tool like Payerprice, which allows you to search with CPT codes and specific locations.
CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services to payers for reimbursement. They are essential for billing and determining the cost of specific procedures.
For specific medical service prices based on your location, you can use online tools designed for this purpose. Payerprice offers a fee schedule lookup tool where you can search using a CPT code and your specific location to find relevant pricing information.
Yes, Payerprice provides a fee schedule lookup tool that allows users to search for medical fees using CPT codes and specific locations, helping you find relevant pricing information for various medical services.
While CMS (Centers for Medicare & Medicaid Services) provides information primarily related to Medicare and Medicaid reimbursement, for general fee schedule lookups across various payers and for specific procedures based on CPT codes and your location, Payerprice offers a dedicated fee schedule lookup tool designed for this purpose. It provides a more comprehensive and user-specific search experience for individuals looking for detailed pricing information beyond government programs.