92616 Fees w/laryngeal sense test
What 92616 is
CMS fee schedule short descriptor: Fees w/laryngeal sense test.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 92616 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 1.83 | 4.95 | 0.07 | 6.85 | $228.80 |
| Facility (hospital, ASC) | 1.83 | 0.49 | 0.07 | 2.39 | $79.83 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.
Medically Unlikely Edit (MUE)
Medicare caps 92616 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 92616? These codes are bundled into it
92616 is a Column 1 code in 14 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
31575 | Diagnostic laryngoscopy | 0 - no modifier bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
69705 | Nps surg dilat eust tube uni | 0 - no modifier bypass | Check pair |
69706 | Nps surg dilat eust tube bi | 0 - no modifier bypass | Check pair |
76120 | Cine/video x-rays | 0 - no modifier bypass | Check pair |
76125 | Cine/video x-rays add-on | 0 - no modifier bypass | Check pair |
92511 | Nasopharyngoscopy | 0 - no modifier bypass | Check pair |
92520 | Laryngeal function studies | 0 - no modifier bypass | Check pair |
92610 | Evaluate swallowing function | 1 - modifier may bypass | Check pair |
92611 | Motion fluoroscopy/swallow | 1 - modifier may bypass | Check pair |
92612 | Endoscopy swallow (fees) vid | 0 - no modifier bypass | Check pair |
92614 | Laryngoscopic sensory vid | 0 - no modifier bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.