icd code for barium swallow

What is a CPT code for a barium swallow?

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• Furnished in a setting appropriate to the patient’s medical needs and condition.
• Ordered and furnished by qualified personnel.

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What is the procedure code for swallow evaluation?

What codes describe a clinical swallowing evaluation and modified barium swallow study (MBS)? The procedure code for a clinical swallowing evaluation is CPT 92610. CPT 92611 is the procedure represents the speech-language pathologist's participation in the MBS or videofluoroscopy.

What is the code for modified barium swallow test?

When billing for non-covered services, use the appropriate modifier. CPT codes 70370, 70371 and 74230 describe the complete barium swallow study and should only be billed one time per patient on the same date of service. Only one of these CPT codes should be billed per patient on the same date of service.

How to pronounce barium swallow?

Barium swallow is a dedicated test of the pharynx, esophagus, and proximal stomach, and may be performed as a single or double contrast study.The study is often "modified" to suit the history and symptoms of the individual patient, but it is often useful to evaluate the entire pathway from the lips to the gastric fundus.

What is CPT code for barium swallow?

CPT codes 70370, 70371 and 74230 describe the complete barium swallow study and should only be billed one time per patient on the same date of service.

What is the CPT code for a swallow study?

The procedure code for a clinical swallowing evaluation is CPT 92610. CPT 92611 is the procedure represents the speech-language pathologist's participation in the MBS or videofluoroscopy. A separate radiology procedure code, CPT 74230 covers the services of the radiologist and the radiology technician.

Does Medicare cover a barium swallow test?

Because upper GI examinations are categorized by Medicare as diagnostic non-laboratory tests, your Medicare Part B (medical insurance) policy may cover 80 percent of the cost. In order to be eligible for coverage under Medicare Part B, your health care provider must certify that the exam is medically necessary.

What is a swallow barium test?

A barium swallow test (cine esophagram, swallowing study, esophagography, modified barium swallow study, video fluoroscopy swallow study) is a special type of imaging test that uses barium and X-rays to create images of your upper gastrointestinal (GI) tract.

What is the ICD 10 code for dysphagia?

Code R13. 10 is the diagnosis code used for Dysphagia, Unspecified. It is a disorder characterized by difficulty in swallowing. It may be observed in patients with stroke, motor neuron disorders, cancer of the throat or mouth, head and neck injuries, Parkinson's disease, and multiple sclerosis.

Is an Esophagram the same as a barium swallow?

Is esophagram the same as a barium swallow test? Yes, the barium swallow test is another name for an esophagram. The nickname comes from the contrast agent that makes your esophagus show up in X-rays. Barium sulfate is used in many types of radiology exams to coat your insides and help them show up better on images.

Is barium swallow covered by insurance?

If you have health insurance, a barium swallow may be fully or partially covered. If you don't have insurance, the procedure may cost between $300 and $450. This covers the costs of your doctor's time interpreting the X-rays as well as the cost of the technicians who perform the procedure.

What is procedure code 74230?

74230 - CPT® Code in category: Radiologic examination, gastrointestinal tract.

Is dysphagia covered by Medicare?

Speech-language pathology services are covered under Medicare for the treatment of dysphagia, regardless of the presence of a communication disability.

What is the difference between barium meal and barium swallow?

A barium swallow test looks at your throat and oesophagus. A barium meal looks at your oesophagus, stomach and the first part of your bowel. A barium follow-through is a similar test to look at your small bowel – there is more about this in our FAQ section.

What is the difference between an Esophagram and upper GI?

An esophagram (also called a barium swallow test) examines your esophagus specifically. The upper GI series examines your esophagus, stomach and upper small intestine (duodenum).

What is swallowing symptom?

A symptom referring to difficulty in swallowing. It may be observed in patients with stroke, motor neuron disorders, cancer of the throat or mouth, head and neck injuries, parkinson disease, and multiple sclerosis. Difficulty in swallowing which may result from neuromuscular disorder or mechanical obstruction.

What are the two types of dysphagia?

Dysphagia is classified into two distinct types: oropharyngeal dysphagia due to malfunction of the pharynx and upper esophageal sphincter; and esophageal dysphagia due to malfunction of the esophagus. Difficulty in swallowing. Difficulty swallowing.

Document Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

This LCD supplements but does not replace, modify or supersede existing Medicare applicable National Coverage Determinations (NCDs) or payment policy rules and regulations for barium swallow study services. Federal statute and subsequent Medicare regulations regarding provision and payment for medical services are lengthy.

Coverage Guidance

Notice: It is not appropriate to bill Medicare for services that are not covered (as described by this entire LCD) as if they are covered. When billing for non-covered services, use the appropriate modifier.

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L35433, Barium Swallow Studies, Modified. Please refer to the LCD for reasonable and necessary requirements.

ICD-10-CM Codes that Support Medical Necessity

It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim (s) submitted.

ICD-10-CM Codes that DO NOT Support Medical Necessity

All those not listed under the “ICD-10 Codes that Support Medical Necessity" section of this article.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

What is a modified barium swallow?

The videofluoroscopic swallowing study, also known as the Modified Barium Swallow (MBS), is a videofluoroscopic, radiographic test that differs from the traditional barium swallow procedures (e.g. , pharyngoesophagram and upper gastrointestinal series) in both procedure and purpose.

What diseases cause dysphagia?

Patients with generalized debilitation and with difficulty swallowing food. Patients with neuromuscular diseases and rheumatologic diseases known to cause dysphagia. Patients with a clinical history of aspiration or a history of aspiration pneumonia.