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Flexible endoscopic evaluation of laryngeal sensory function involves a specialized procedure that assesses the sensory capabilities of the larynx using advanced imaging techniques. This evaluation is conducted in a controlled environment, typically with the patient seated comfortably. To ensure patient comfort and minimize discomfort during the procedure, an analgesic spray is applied to numb the nasal passages and throat. The procedure utilizes a flexible endoscope, which is a thin, tube-like instrument equipped with a camera, that is carefully inserted through the nose or mouth and guided into the throat. During the evaluation, puffs of air are delivered through the endoscope to stimulate the laryngeal sensory receptors, allowing for a comprehensive assessment of their responsiveness. The entire process is recorded using cine or video technology, capturing real-time images of the laryngeal response. Following the evaluation, these images are meticulously reviewed, and a detailed written report is generated, summarizing the findings related to the sensory function of the larynx. It is important to note that CPT® Code 92615 is specifically designated for instances where only the interpretation of the recorded images and the report of findings are provided, without the performance of the complete procedure, which is coded under 92614.
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The flexible endoscopic evaluation of laryngeal sensory function is indicated for various clinical scenarios where assessment of laryngeal sensitivity is necessary. This procedure is typically performed in the following situations:
The procedure for flexible endoscopic evaluation of laryngeal sensory function involves several key steps that ensure accurate assessment and documentation of laryngeal sensitivity. The following procedural steps are performed:
Post-procedure care following the flexible endoscopic evaluation of laryngeal sensory function typically involves monitoring the patient for any immediate adverse reactions to the procedure, such as discomfort or difficulty swallowing. Patients may be advised to avoid eating or drinking for a short period following the procedure to allow any residual effects of the analgesic spray to wear off. The detailed report generated from the evaluation will be used to inform subsequent clinical decisions and management plans. It is important for healthcare providers to discuss the findings with the patient and outline any necessary follow-up actions based on the results of the sensory testing.
| Short Descr | LARYNGOSCOPIC SENSORY I&R | Medium Descr | FLEXIBLE ENDOSCOPIC EVAL LARYN SENS C/V REC I&R | Long Descr | Flexible endoscopic evaluation, laryngeal sensory testing 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 | Non-Covered Service, not paid under OPPS | 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 |
| 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.) | GA | Waiver of liability statement issued as required by payer policy, individual case |
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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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