CPT code 92614 is used for procedures involving laryngoscopic sensory testing, aiding in the diagnosis and treatment of voice and swallowing disorders.
CPT code 92614 is used to describe a procedure involving a laryngoscopic sensory examination. This code specifically pertains to the assessment of sensory function in the larynx using a laryngoscope, which is a tool that allows healthcare providers to visually examine the larynx. This procedure is typically performed to evaluate the sensory nerve function of the larynx, which can be crucial for diagnosing conditions that affect swallowing, voice, and airway protection. By using this code, healthcare providers can accurately document and bill for the sensory testing conducted during the laryngoscopic examination.
For CPT code 92614, which pertains to laryngoscopic sensory testing, the following modifiers may be applicable depending on the specific circumstances of the procedure:
1. Modifier 22 (Increased Procedural Services): Use this modifier if the procedure required significantly more work than typically required. This could be due to unusual patient anatomy or other complicating factors.
2. Modifier 26 (Professional Component): Apply this modifier if you are billing only for the professional component of the service, such as the interpretation of the results, and not the technical component.
3. Modifier 52 (Reduced Services): Use this modifier if the procedure was partially reduced or eliminated at the physician's discretion.
4. Modifier 59 (Distinct Procedural Service): This modifier is used to indicate that the procedure was distinct or independent from other services performed on the same day. It is often used to bypass National Correct Coding Initiative (NCCI) edits.
5. Modifier 76 (Repeat Procedure by Same Physician): Use this modifier if the procedure needs to be repeated by the same physician on the same day.
6. Modifier 77 (Repeat Procedure by Another Physician): Apply this modifier if the procedure is repeated by a different physician on the same day.
7. Modifier 78 (Unplanned Return to the Operating/Procedure Room): This modifier is used if the patient needs to return to the operating room for a related procedure during the postoperative period.
8. Modifier 79 (Unrelated Procedure or Service by the Same Physician During the Postoperative Period): Use this modifier if the procedure is unrelated to the original procedure and occurs during the postoperative period.
9. Modifier 95 (Synchronous Telemedicine Service Rendered via a Real-Time Interactive Audio and Video Telecommunications System): If the procedure is performed via telemedicine, this modifier may be applicable.
These modifiers should be used in accordance with payer guidelines and specific clinical scenarios to ensure accurate billing and reimbursement.
CPT code 92614 is subject to reimbursement considerations under Medicare, but whether it is reimbursed depends on several factors. The Medicare Physician Fee Schedule (MPFS) is a critical resource for determining if a specific CPT code, such as 92614, is reimbursed by Medicare. The MPFS outlines the payment rates and coverage policies for services provided to Medicare beneficiaries.
Additionally, Medicare Administrative Contractors (MACs) play a significant role in the reimbursement process. MACs are responsible for processing Medicare claims and have the authority to make local coverage determinations (LCDs) that can affect whether a particular service is reimbursed in their jurisdiction. Therefore, it is essential to consult the MPFS and the relevant MAC's guidelines to determine if CPT code 92614 is reimbursed by Medicare in a specific region.
Healthcare providers should regularly review updates to the MPFS and stay informed about any changes in MAC policies to ensure accurate billing and reimbursement for services associated with CPT code 92614.
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