CPT code 92617 is used for procedures involving the assessment and treatment of laryngeal sensory function and reflexes.
CPT code 92617 is used to describe the procedure involving the fees with laryngeal sensory testing, including interpretation and report. This code is specifically utilized when a healthcare provider performs a fiberoptic endoscopic evaluation of swallowing (FEES) that includes testing the sensory function of the larynx. The procedure helps assess the patient's swallowing function and the sensory response of the larynx, which is crucial for diagnosing and managing swallowing disorders. The code covers the entire process, from conducting the test to interpreting the results and providing a detailed report.
For CPT code 92617, which involves fees with laryngeal sensory testing, the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services: Use this modifier if the procedure required significantly more work than typically required. This could be due to increased complexity or difficulty.
2. Modifier 52 - Reduced Services: Apply this modifier if the procedure was partially reduced or eliminated at the discretion of the healthcare provider.
3. Modifier 59 - Distinct Procedural Service: This modifier is used to indicate that a procedure or service was distinct or independent from other services performed on the same day. It is particularly useful when procedures are not normally reported together but are appropriate under the circumstances.
4. Modifier 76 - Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional: Use this modifier if the same procedure was repeated on the same day by the same provider.
5. Modifier 77 - Repeat Procedure by Another Physician or Other Qualified Health Care Professional: This modifier is applicable if the procedure was repeated on the same day by a different provider.
6. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: Use this modifier if the patient had to return to the procedure room unexpectedly for a related procedure.
7. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: This modifier is used when a procedure is performed during the postoperative period of another procedure, but is unrelated to the original procedure.
8. Modifier 95 - Synchronous Telemedicine Service Rendered via a Real-Time Interactive Audio and Video Telecommunications System: If the procedure was performed via telemedicine, this modifier should be used to indicate that the service was provided through a real-time interactive audio and video system.
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement. Always verify payer-specific guidelines as they may have unique requirements for modifier usage.
CPT code 92617, which involves fees with laryngeal sense i&r, is subject to reimbursement considerations under Medicare. To determine if this specific CPT code is reimbursed by Medicare, healthcare providers should consult the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of services covered by Medicare, along with their respective reimbursement rates. Additionally, it's important to verify with the local Medicare Administrative Contractor (MAC), as they are responsible for processing claims and can provide guidance on coverage specifics and any regional variations in reimbursement policies. Each MAC may have different interpretations or requirements, so checking with them ensures compliance and accurate billing practices.
Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments down to the CPT code level. With RevFind, you can identify discrepancies for specific services, such as 92617, ensuring you receive the full reimbursement you deserve from each payer. Schedule a demo today to see how RevFind can streamline your financial processes and improve your bottom line.
Get paid in full by bringing clarity to your revenue cycle
Subscribe to the
Healthcare Clarified newsletter
Get the latest insights on RCM and healthcare policy in your inbox
