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Flexible endoscopic evaluation of swallowing function and laryngeal sensory testing is a diagnostic procedure that utilizes advanced imaging techniques to assess the mechanics of swallowing and the sensory capabilities of the larynx. This procedure is conducted using a flexible endoscope, which is a thin, tube-like instrument equipped with a camera and light source, allowing for a detailed view of the throat and laryngeal structures. The evaluation is performed while the patient is seated, ensuring comfort and optimal positioning for the procedure. Prior to the insertion of the endoscope, local anesthesia may be applied to the nasal passages and throat using an analgesic spray, minimizing discomfort during the examination. During the evaluation, the endoscope is carefully inserted through the nose or mouth and advanced into the throat, reaching the hypopharynx where critical anatomical structures can be visualized. The procedure involves the ingestion of both liquid and solid food while cine or video recordings capture the swallowing process in real-time. This allows for a comprehensive assessment of various aspects of swallowing function, including the ability to protect the airway, the timing of swallowing movements, and the effectiveness of bolus clearance from the pharynx. Additionally, laryngeal sensory testing is performed by delivering puffs of air through the endoscope, which helps evaluate the sensory function of the pharyngeal and laryngeal areas. The entire procedure is documented through video recordings, and a detailed written report of the findings is generated for further analysis and clinical decision-making.
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The flexible endoscopic evaluation of swallowing and laryngeal sensory testing is indicated for a variety of clinical scenarios where assessment of swallowing function and laryngeal sensitivity is necessary. The following conditions may warrant this procedure:
The flexible endoscopic evaluation of swallowing and laryngeal sensory testing involves several key procedural steps that ensure a thorough assessment of the patient's swallowing function and laryngeal sensitivity. The following steps outline the procedure:
Following the flexible endoscopic evaluation of swallowing and laryngeal sensory testing, patients may experience some temporary discomfort in the throat due to the procedure. It is important for the clinician to provide post-procedure care instructions, which may include recommendations for hydration and dietary modifications if necessary. Patients should be monitored for any signs of complications, such as persistent pain, difficulty breathing, or swallowing difficulties. The written report generated from the procedure will guide further clinical decisions and management strategies based on the findings observed during the evaluation.
| Short Descr | FEES W/LARYNGEAL SENSE TEST | Medium Descr | FLEXIBLE NDSC EVAL SWLNG&LARYN SENS C/V REC | Long Descr | Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; | 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 | Service Paid under Fee Schedule or Payment System other than 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 |
| GN | Services delivered under an outpatient speech language pathology plan of care | KX | Requirements specified in the medical policy have been met | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | 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. | 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.) | GC | This service has been performed in part by a resident under the direction of a teaching physician | GO | Services delivered under an outpatient occupational therapy plan of care | GW | Service not related to the hospice patient's terminal condition | GX | Notice of liability issued, voluntary under payer policy | U5 | Medicaid level of care 5, as defined by each state |
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| 2017-01-01 | Changed | Long and Medium descriptions changed. |
| 2010-01-01 | Changed | Code description changed. |
| 2003-01-01 | Added | First appearance in code book in 2003. |
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