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The CPT® Code 92611 refers to a specialized procedure known as motion fluoroscopic evaluation of swallowing function, which is conducted through cine or video recording. This procedure is primarily utilized by dysphagia specialists in collaboration with radiologists to assess and analyze the swallowing capabilities of patients who may be experiencing difficulties, known as dysphagia. During the evaluation, the patient is administered liquid barium and solids that are coated with barium, which are ingested to facilitate the examination. The use of video fluoroscopy allows for real-time visualization of the swallowing process, capturing the dynamics of how the patient swallows both liquids and solids. This detailed imaging is crucial for identifying any abnormalities or issues in the swallowing mechanism. Following the procedure, the radiologist meticulously reviews the recorded fluoroscopic studies and generates a comprehensive written report that outlines the findings, which can be essential for guiding further treatment and management of the patient's swallowing difficulties.
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The motion fluoroscopic evaluation of swallowing function (CPT® Code 92611) is indicated for patients who exhibit signs of dysphagia, which may include difficulty swallowing, choking, aspiration, or other related symptoms. This procedure is particularly relevant for individuals with neurological disorders, structural abnormalities, or other conditions that may impair the swallowing process.
The procedure begins with the patient being positioned appropriately for the fluoroscopic examination. The dysphagia specialist prepares the patient by explaining the process and ensuring their comfort. The patient is then given liquid barium to drink and solids that are coated with barium to eat. As the patient consumes these substances, the dysphagia specialist closely observes the swallowing process. The use of video fluoroscopy allows for the continuous recording of the swallowing function, capturing the movement of the barium as it travels through the oral cavity, pharynx, and into the esophagus. This real-time imaging is crucial for identifying any abnormalities in the swallowing mechanism. After the evaluation, the recorded video is reviewed by the radiologist, who analyzes the findings and compiles a detailed written report that summarizes the results of the examination.
After the motion fluoroscopic evaluation of swallowing function, the patient may be monitored for any immediate reactions to the barium. It is important to provide the patient with instructions regarding hydration and dietary modifications if necessary. The written report generated by the radiologist will be shared with the referring physician, who will discuss the findings with the patient and determine any further steps or treatments required based on the evaluation results. Follow-up appointments may be scheduled to reassess the patient's swallowing function and to implement any recommended interventions.
| Short Descr | MOTION FLUOROSCOPY/SWALLOW | Medium Descr | MOTION FLUOR EVAL SWLNG FUNCJ C/V REC | Long Descr | Motion fluoroscopic evaluation of swallowing function by cine or video recording | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 7 - Physical Therapy Service, for which Payment may not be Made | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Service Paid under Fee Schedule or Payment System other than OPPS | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | I4B - Imaging/procedure - other | MUE | 1 | CCS Clinical Classification | 31 - Diagnostic procedures on nose, mouth and pharynx |
| GN | Services delivered under an outpatient speech language pathology plan of care | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | KX | Requirements specified in the medical policy have been met | GO | Services delivered under an outpatient occupational therapy plan of care | GA | Waiver of liability statement issued as required by payer policy, individual case | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service | GP | Services delivered under an outpatient physical therapy plan of care | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 95 | Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system. | CR | Catastrophe/disaster related | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GW | Service not related to the hospice patient's terminal condition | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | PD | Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2003-01-01 | Added | First appearance in code book in 2003. |
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