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The CPT® Code 92613 refers to a specific procedure known as the flexible endoscopic evaluation of swallowing by cine or video recording, which is performed for the purpose of assessing swallowing function. This evaluation is conducted in a controlled environment where the patient is seated comfortably. To facilitate the procedure, local anesthesia may be applied to the nasal passages and throat using an analgesic spray, ensuring that the patient experiences minimal discomfort during the examination. An endoscope, a flexible tube equipped with a camera, is then carefully inserted through either the nose or mouth and advanced into the throat. During the procedure, the patient is asked to ingest both liquid and solid food items while cine or video recordings are made. These recordings are displayed in real-time on a computer screen, allowing for immediate visual assessment of the swallowing process. After the procedure, the recorded images are meticulously reviewed, and a comprehensive written report detailing the findings related to the patient's swallowing function is generated. It is important to note that CPT® Code 92613 is specifically designated for instances where only the interpretation of the recorded data and the subsequent report are provided, without the performance of the complete procedure, which is represented by CPT® Code 92612.
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The flexible endoscopic evaluation of swallowing is indicated for patients who exhibit symptoms or conditions that may affect their swallowing function. These indications may include, but are not limited to:
The procedure for the flexible endoscopic evaluation of swallowing involves several key steps that ensure a thorough assessment of the patient's swallowing function. The process begins with the patient being positioned comfortably in a seated manner, which is essential for optimal access and visualization during the evaluation.
Following the flexible endoscopic evaluation of swallowing, patients may be monitored for any immediate post-procedural effects, particularly if sedation was used. It is important for the healthcare provider to provide instructions regarding any dietary modifications or follow-up evaluations that may be necessary based on the findings of the procedure. Patients should be informed about potential symptoms to watch for, such as persistent pain or difficulty swallowing, and advised to contact their healthcare provider if such symptoms occur. The written report generated from the evaluation will guide further management and treatment options tailored to the patient's specific needs.
| Short Descr | ENDOSCOPY SWALLOW (FEES) I&R | Medium Descr | FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC I&R | Long Descr | Flexible endoscopic evaluation of swallowing by cine or video recording; interpretation and report only | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 0 - Physician Service Code | 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 | Code Not Recognized by OPPS when submitted on Outpatient Hospital Part B Bill Type (12x/13x) | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | P8I - Endoscopy - other | MUE | 1 | CCS Clinical Classification | 31 - Diagnostic procedures on nose, mouth and pharynx |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 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. | 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. | GC | This service has been performed in part by a resident under the direction of a teaching physician | GN | Services delivered under an outpatient speech language pathology plan of care | 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 | KX | Requirements specified in the medical policy have been met | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | U2 | Medicaid level of care 2, as defined by each state | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2017-01-01 | Changed | Long, Medium and Short descriptions changed. |
| 2013-01-01 | Changed | Description Changed |
| 2003-01-01 | Added | First appearance in code book in 2003. |
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