2025 CPT code 92614
(Active) Effective Date: N/A Revision Date: N/A Diagnostic - Endoscopic Evaluation Medicine Services and Procedures > Special Otorhinolaryngologic Services and Procedures Feed
Flexible endoscopic evaluation of the larynx with sensory testing using cine or video recording.
Modifiers may be applicable depending on the circumstances of the procedure.Consult the CPT manual and local payer guidelines for specific modifier usage rules.
The medical necessity for code 92614 is established when there is a clinical indication for assessment of laryngeal sensory function. This could be due to suspected or diagnosed conditions such as dysphagia, voice disorders, or post-laryngeal surgery assessment.
The otolaryngologist (ENT) or other qualified physician performs the flexible endoscopic examination, administers sensory testing, interprets the findings, and prepares the report.
- Medicine Services and Procedures > Special Otorhinolaryngologic Services and Procedures
- Evaluative and Therapeutic Otorhinolaryngologic Services
In simple words: The doctor uses a thin, flexible tube with a camera (endoscope) to examine the voice box and throat.Air puffs are gently applied to check the sensitivity of the muscles involved in swallowing and breathing. The exam is recorded on video to help the doctor assess the results.
This CPT code encompasses a flexible endoscopic evaluation of the larynx, specifically focusing on sensory testing of the laryngeal muscles. The procedure involves using a flexible endoscope to visualize the larynx and pharynx, while administering air pulses of varying intensities to assess sensory reflexes.Cine or video recording is integral to this procedure, documenting the responses and facilitating detailed analysis.The goal is to evaluate the presence and extent of sensory and motor deficits within the laryngeal muscles crucial for swallowing and airway protection.
Example 1: A patient presents with dysphagia (difficulty swallowing) and a history of laryngeal trauma. The physician uses code 92614 to assess for laryngeal sensory deficits that might contribute to the dysphagia., A patient with vocal cord paralysis undergoes flexible endoscopic evaluation and laryngeal sensory testing (92614) to evaluate the extent of nerve damage and the potential for rehabilitation., A patient post-laryngeal surgery is evaluated with code 92614 to assess for any residual laryngeal sensory deficits and guide post-operative management.
* Detailed history and physical examination, including the reason for the procedure.* Indication for the procedure (e.g., dysphagia, voice disorders, post-surgical assessment).* Description of the procedure performed, including the type of endoscope used.* Detailed documentation of sensory testing results for both sides of the larynx.* Cine or video recording of the procedure.* Interpretation of the findings and clinical implications.* Post-procedure instructions.
** This procedure is often used in conjunction with other diagnostic or therapeutic procedures related to swallowing disorders or laryngeal pathology.Always confirm the appropriate code selection by referring to the latest CPT manual and payer guidelines.
- Revenue Code: P8I (ENDOSCOPY - OTHER)
- RVU: Information not available in provided source.Consult the AMA CPT codebook or other relevant reimbursement resources for RVU values and payment rates.
- Global Days: Information not available in provided source.Consult the AMA CPT codebook or other relevant reimbursement resources for details on global periods.
- Payment Status: Active
- Modifier TC rule: Information not available in the provided source. Consult the CPT manual and local payer guidelines for details on Technical Component (TC) modifier applicability.
- Fee Schedule: Information not available in the provided source. Consult fee schedule databases or payer websites for historical fee data.
- Specialties:Otolaryngology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center