2025 CPT code 92613
(Valid) Effective Date: N/A Revision Date: N/A Medicine - Special Otorhinolaryngologic Services and Procedures Feed
Interpretation and report of a flexible endoscopic evaluation of swallowing by cine or video recording.
Modifiers may be applicable to this code. For example, modifier 26 may be used if the physician provides only the professional component of the service (interpretation and report).
Medical necessity for this code must be supported by documentation of swallowing difficulties or suspected swallowing dysfunction that requires further evaluation to determine the cause and guide appropriate treatment.
The physician is responsible for interpreting the cine or video recording of the swallowing study, analyzing the swallowing mechanism, identifying any abnormalities or dysfunctions, and preparing a detailed report of the findings.
In simple words: The doctor reviews the video recording of your swallowing test, figures out what's causing any swallowing problems, and writes a report about it.
This code represents the physician's interpretation and report of a flexible endoscopic evaluation of swallowing using cine or video recording.The actual procedure of performing the flexible endoscopic evaluation is reported separately (92612). This service includes reviewing the recording, analyzing the swallowing function, identifying any abnormalities, and documenting the findings in a report.
Example 1: A speech-language pathologist performs the flexible endoscopic evaluation of swallowing (92612), and the physician interprets the recording and writes a report (92613)., The physician performs the flexible endoscopic evaluation of swallowing (92612) and also interprets the recording and writes a report (92613)., The recording of the flexible endoscopic evaluation of swallowing is sent to a physician for remote interpretation and report (92613).
Documentation should include details of the swallowing evaluation procedure, including the type of recording (cine or video), the findings of the interpretation, and a diagnosis related to the swallowing dysfunction, if applicable. The report should clearly document the physician's interpretation and conclusions.
- Modifier TC rule: Modifier TC might apply if a technician performs the procedure while physician provide only technical supervision and interpretation.
- Specialties:Otolaryngology, Gastroenterology, Speech-Language Pathology
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital, Skilled Nursing Facility