2025 CPT code 92611
(Active) Effective Date: N/A Evaluation and Management Services - Special Otorhinolaryngologic Services and Procedures Medicine Feed
Motion fluoroscopic evaluation of swallowing function by cine or video recording.
Modifiers may be applicable to code 92611 to indicate specific circumstances, such as reduced services (modifier 52) or discontinued procedure (modifier 53).
Medical necessity must be established by demonstrating a clinically significant swallowing problem that requires objective assessment for diagnosis and treatment planning.
The speech-language pathologist (SLP) is responsible for performing the clinical aspects of the VFSS, including patient instruction, administration of various food consistencies mixed with barium contrast, observation and analysis of the swallow, and recommendations for therapeutic interventions and diet modifications.
In simple words: This procedure uses a moving x-ray and video recording to see how you swallow.A speech therapist will give you different foods and liquids with barium in them so the x-ray can create a clear picture of your mouth and throat while you swallow.
This code represents the speech-language pathologist's participation in a videofluoroscopic swallowing study (VFSS), also known as a Modified Barium Swallow Study (MBSS). It involves a dynamic radiographic examination of the swallowing mechanism using a video recording of real-time x-ray images.The radiologist's services are reported separately with code 74230.
Example 1: A patient with a history of stroke presents with difficulty swallowing. A VFSS is performed to assess the nature and severity of the swallowing disorder., A child with suspected dysphagia undergoes a VFSS to evaluate the coordination of swallowing and identify potential aspiration risks., A patient with head and neck cancer undergoes a VFSS post-treatment to evaluate the impact of the cancer and treatment on swallowing function.
Documentation should include the medical reason for the study, the substances given to the patient, the findings of the evaluation, and the recommendations provided.
- Revenue Code: I4B - IMAGING/PROCEDURE - OTHER
- Modifier TC rule: Modifier TC is not applicable to code 92611 because it is the technical component provided by the SLP.
- Specialties:Speech-Language Pathology, Otolaryngology, Radiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Skilled Nursing Facility, Independent Clinic, etc.