2025 CPT code 92617
(Active) Effective Date: N/A Revision Date: N/A Medicine - Special Otorhinolaryngologic Services and Procedures Medicine Services and Procedures Feed
Interpretation and report of a flexible endoscopic evaluation of swallowing and laryngeal sensory testing (FEESST) using cine or video recording.
Modifiers 52 (reduced services), 53 (discontinued procedure), 76 (repeat procedure by same physician), 77 (repeat procedure by another physician), and 79 (unrelated procedure) may be applicable depending on the circumstances.
Medical necessity for FEESST is established when there is clinical suspicion of swallowing disorders, laryngeal sensory dysfunction, or aspiration risk.This is often indicated by symptoms such as dysphagia, recurrent pneumonia, unexplained weight loss, or voice changes.
The clinical responsibility lies with the physician interpreting the FEESST recording and generating the report. The physician should have expertise in interpreting flexible endoscopic evaluations of swallowing and laryngeal sensory function.
In simple words: The doctor reviews a video recording of a test that checks how well you swallow and how your voice box feels.They create a report explaining their findings.
This CPT code, 92617, encompasses the interpretation and report generation based on a cine or video recording from a flexible endoscopic evaluation of swallowing function with laryngeal sensory testing.The procedure involves using a flexible endoscope to visualize the pharynx and larynx while the patient performs swallowing maneuvers and receives laryngeal sensory stimulation. The provider analyzes the recording to assess swallowing mechanics, laryngeal reflexes, and identify any sensory or motor deficits. The final report details these findings.
Example 1: A 70-year-old post-stroke patient presents with dysphagia and aspiration concerns. A FEESST is performed, and the recording is interpreted by a speech-language pathologist to identify the type and severity of swallowing impairment to guide therapy and dietary recommendations., A 55-year-old patient with head and neck cancer undergoes surgical resection. A FEESST is conducted pre and post-surgery by an otolaryngologist to assess the impact of surgery on swallowing function and laryngeal sensation., A 30-year-old patient with unexplained chronic cough and voice changes undergoes FEESST. The otolaryngologist identifies laryngeal sensory deficits and recommends appropriate medical management.
** The interpretation and reporting of a FEESST are considered distinct services from the actual procedure itself and should be reported separately using 92617 when appropriate.
- Revenue Code: P8I (ENDOSCOPY - OTHER)
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Otolaryngology, Speech-Language Pathology, Gastroenterology, Pulmonology
- Place of Service:Office, Hospital, Outpatient clinic