2025 CPT code 92615
(Active) Effective Date: N/A Revision Date: N/A Diagnostic - Endoscopic Procedures Medicine Services and Procedures > Special Otorhinolaryngologic Services and Procedures Feed
Interpretation and report of a flexible endoscopic evaluation with laryngeal sensory testing (cine or video recording).
Modifiers may be applicable depending on the circumstances of service delivery. For instance, modifier 52 (reduced services) could be used if only a portion of the interpretation and report was completed, and modifier 76 (repeat procedure) if the physician interprets a repeat study.
Medical necessity for this code is established when a patient presents with clinical symptoms suggestive of swallowing disorders, laryngeal dysfunction, or vagus nerve pathology. The physician should document the clinical indications necessitating the FEESST and the interpretation of its results.
The physician's responsibility is to interpret the cine or video recording of the flexible endoscopic evaluation with laryngeal sensory testing and generate a comprehensive report of their findings, detailing the assessment of laryngeal reflexes and any identified sensory or motor deficits.
- Medicine Services and Procedures > Special Otorhinolaryngologic Services and Procedures
- 92612-92617 (Endoscopic Swallowing Evaluations)
In simple words: The doctor reviews a video recording of a test of the voice box and throat to see how well the muscles are working and identify any problems that might be causing swallowing difficulties. They then write a report summarizing their findings.
This CPT code encompasses the interpretation and report generation of a flexible endoscopic evaluation of the larynx, including sensory testing using cine or video recording.The procedure involves assessing sensory and motor functions of laryngeal muscles to determine the cause of swallowing difficulties. The provider reviews the recorded images to analyze laryngeal reflexes and identify any deficits. The final report details findings and observations.
Example 1: A patient presents with dysphagia (difficulty swallowing). A FEESST (Flexible Endoscopic Evaluation of Swallowing with Sensory Testing) is performed, and the recording is sent to the physician for interpretation and report generation using code 92615., A patient experiences persistent throat pain, and a flexible endoscopic evaluation with sensory testing is conducted to assess for potential vagus nerve injury. The physician uses code 92615 to report their interpretation of the recorded findings., A patient with a history of stroke exhibits swallowing difficulties. Following a FEESST procedure, the physician interprets the resulting video and generates a report using code 92615.
The report should include:* Patient demographics and relevant medical history* Detailed description of the procedure performed (FEESST)* Description of the findings from the video recording* Assessment of laryngeal reflexes and sensory/motor function* Identification of any abnormalities or deficits* Diagnostic impressions and recommendations
** This code should be used in conjunction with code 92614 when appropriate.Always ensure accurate documentation of the procedure and clinical findings to support medical necessity.
- Revenue Code: P8I (ENDOSCOPY - OTHER)
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier does not apply to this code, as it represents only the professional component (PC) – interpretation and report generation.
- Specialties:Otolaryngology, Speech-Language Pathology, Gastroenterology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center