How To Use CPT Code 92614

CPT 92614 describes the evaluation of laryngeal sensory deficits using a flexible endoscope and cine or video recording. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 92614?

CPT 92614 can be used to describe the evaluation of laryngeal sensory deficits by a healthcare provider using a flexible endoscope and cine or video recording. This code is used when the provider assesses the sensory and motor deficits in the laryngeal muscles to evaluate swallowing function.

2. Official Description

The official description of CPT code 92614 is: ‘Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording.’

3. Procedure

1. The healthcare provider inserts a flexible endoscope through the nasal cavity into the lower pharynx to evaluate the sensory and motor deficits in the laryngeal muscles.
2. Air pulses of different intensities are administered to the inner lining of the lower pharynx to elicit a laryngeal reflex.
3. The provider records the patient’s response to the air pulses using cine or video recording.
4. The provider may repeat the testing on both sides of the pharynx to assess the extent of sensory and motor deficits.
5. If the patient does not exhibit the sensory reflex, the provider may increase the intensity of the air pulses to trigger the reflex.
6. If the patient exhibits a normal airway protective reflex, the provider records this finding.
7. The provider documents the results of the evaluation and any further recommendations or treatment plans.

4. Qualifying circumstances

CPT 92614 is used for patients who require evaluation of laryngeal sensory deficits. This procedure is typically performed to assess swallowing function in patients with suspected sensory or motor deficits in the laryngeal muscles. It is important to note that CPT code 92614 should not be reported in conjunction with code 31575.

5. When to use CPT code 92614

CPT code 92614 should be used when a healthcare provider performs a flexible endoscopic evaluation of laryngeal sensory deficits using cine or video recording. This code is appropriate for patients who require assessment of their swallowing function and have suspected sensory or motor deficits in the laryngeal muscles.

6. Documentation requirements

To support a claim for CPT 92614, the healthcare provider must document the following information:

• Patient’s symptoms or suspected sensory deficits in the laryngeal muscles
• Description of the flexible endoscopic evaluation procedure
• Date and time of the evaluation
• Details of the cine or video recording, including any abnormalities observed
• Results of the evaluation, including the presence or absence of the sensory reflex
• Any further recommendations or treatment plans
• Provider’s signature

7. Billing guidelines

When billing for CPT 92614, ensure that the procedure is performed using a flexible endoscope and cine or video recording. It is important to review all codes in the range 92601 to 92633 before selecting the appropriate code for an endoscopic swallowing evaluation. CPT code 92614 should not be reported in conjunction with code 31575.

8. Historical information

CPT 92614 was added to the Current Procedural Terminology system on January 1, 2003. There have been changes to the code description in 2010 and 2017.

9. Examples

1. A speech-language pathologist performing a flexible endoscopic evaluation of laryngeal sensory deficits using cine or video recording to assess swallowing function in a patient with dysphagia.
2. An otolaryngologist evaluating a patient with suspected sensory deficits in the laryngeal muscles using a flexible endoscope and cine or video recording to assess swallowing function.
3. A gastroenterologist performing a flexible endoscopic evaluation of laryngeal sensory deficits using cine or video recording to assess swallowing function in a patient with gastroesophageal reflux disease.
4. A neurologist evaluating a patient with suspected sensory deficits in the laryngeal muscles using a flexible endoscope and cine or video recording to assess swallowing function in a patient with Parkinson’s disease.
5. An otolaryngologist performing a flexible endoscopic evaluation of laryngeal sensory deficits using cine or video recording to assess swallowing function in a patient with a history of head and neck cancer.
6. A speech-language pathologist evaluating a patient with suspected sensory deficits in the laryngeal muscles using a flexible endoscope and cine or video recording to assess swallowing function in a patient with multiple sclerosis.
7. An otolaryngologist performing a flexible endoscopic evaluation of laryngeal sensory deficits using cine or video recording to assess swallowing function in a patient with vocal cord paralysis.
8. A gastroenterologist evaluating a patient with suspected sensory deficits in the laryngeal muscles using a flexible endoscope and cine or video recording to assess swallowing function in a patient with eosinophilic esophagitis.
9. An otolaryngologist performing a flexible endoscopic evaluation of laryngeal sensory deficits using cine or video recording to assess swallowing function in a patient with a history of stroke.
10. A speech-language pathologist evaluating a patient with suspected sensory deficits in the laryngeal muscles using a flexible endoscope and cine or video recording to assess swallowing function in a patient with amyotrophic lateral sclerosis.