CPT 92611
Global XXX ActiveMotion fluoroscopy/swallow
CPT 92611 Billing & Documentation Guide
CPT code 92611 (Motion fluoroscopy/swallow) is classified under Audiology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.31, a non-facility practice expense RVU of 1.38, and a malpractice RVU of 0.05, a total non-facility RVU of 2.74 and facility RVU of 2.74. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $94.18, though rates vary from $84.21 to $115.93 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 92611, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 92611 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 92611 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 92611
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.31 | 1.31 |
| Practice Expense RVU | 1.38 | 1.38 |
| Malpractice RVU | 0.05 | 0.05 |
| Total RVU | 2.74 | 2.74 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 92611
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $100.77 | $100.77 | $95.91 - $115.93 | 29 |
| Florida | $93.25 | $93.25 | $90.33 - $95.96 | 3 |
| Georgia | $89.79 | $89.79 | $86.86 - $92.72 | 2 |
| Illinois | $91.64 | $91.64 | $88.45 - $94.36 | 4 |
| Michigan | $89.38 | $89.38 | $87.72 - $91.05 | 2 |
| North Carolina | $87.83 | $87.83 | $87.83 - $87.83 | 1 |
| New York | $99.52 | $99.52 | $88.72 - $104.46 | 5 |
| Ohio | $87.52 | $87.52 | $87.52 - $87.52 | 1 |
| Pennsylvania | $91.09 | $91.09 | $87.65 - $94.52 | 2 |
| Texas | $90.93 | $90.93 | $87.25 - $94.09 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 92611
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 92611 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 69705 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 69706 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 70370 | Column 1 (primary), can be billed with modifier | Yes | More extensive procedure |
| 70371 | Column 1 (primary), can be billed with modifier | No | More extensive procedure |
| 74230 | Column 1 (primary), can be billed with modifier | 9 | HCPCS/CPT procedure code definition |
| 76120 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 76125 | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 92511 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 92611
What does CPT code 92611 mean? +
CPT code 92611 represents: Motion fluoroscopy/swallow. It's in the Audiology category with a global period of XXX.
What is the Medicare reimbursement for CPT 92611? +
The 2026 Medicare national average non-facility payment for CPT 92611 is $94.18. Rates range from $84.21 to $115.93 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 92611? +
Medicine section spans a wide range: therapy services use GP/GO/GN (PT/OT/SLP plans of care) and KX (above cap with documentation). Drug administration uses JW (waste) and JZ (no waste). Professional/technical split applies to some diagnostic codes.
What bundling edits apply to CPT 92611? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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