CPT® Code 92617

Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; interpretation and report only

The CPT® Code 92617 refers to a specialized procedure known as flexible endoscopic evaluation of swallowing and laryngeal sensory testing, which is conducted using cine or video recording techniques. This procedure is designed to assess the swallowing function and the sensory capabilities of the larynx. During the evaluation, the patient is typically seated, and local anesthesia may be applied to the nasal passages and throat to minimize discomfort. An endoscope, a flexible tube equipped with a camera, is inserted through the nose or mouth and advanced into the throat, specifically reaching the hypopharynx. This allows for a clear visualization of both the laryngeal and pharyngeal structures. The evaluation involves the ingestion of both liquid and solid food while cine or video images are captured and displayed in real-time on a computer screen. This process enables healthcare professionals to thoroughly assess various aspects of swallowing function, including the ability to protect the airway and maintain airway protection for several seconds. Additionally, the procedure evaluates the promptness of swallowing without any spillage of food or liquid into the hypopharynx. Key observations include the timing of swallowing movements and the trajectory of the food or liquid bolus as it moves through the hypopharynx. The evaluation also checks for complete clearance of the bolus from the pharynx, as well as any pooling or residue that may remain after swallowing. Furthermore, laryngeal sensory testing is performed by delivering puffs of air through the endoscope into the throat, while simultaneously recording cine or video images. This aspect of the procedure assesses the sensory function of the pharyngeal and laryngeal structures in conjunction with the swallowing function test. After the procedure, the recorded images are meticulously reviewed, and a comprehensive written report detailing the findings is generated. It is important to note that CPT® Code 92617 is specifically used when the provider performs only the interpretation of the findings and generates a report, without conducting the complete procedure, which is represented by CPT® Code 92616.