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CPT 74210: Contrast Study of Pharynx and Cervical Esophagus
CPT code 74210 represents a diagnostic radiologic contrast study of the pharynx and/or cervical esophagus, including scout and delayed images when performed. This fluoroscopic contrast examination is used to assess swallowing function and to detect structural or motility abnormalities in the upper esophageal region. Nationally, the code is important for imaging workflows, billing compliance, and quality measurement related to dysphagia and upper aerodigestive tract evaluation.
Key payers covered in this summary include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for 74210, typical sites of service, and the common modifiers associated with imaging services. The publication outlines benchmarking and billing considerations relevant to payers listed above and highlights policy and documentation elements that affect coverage and claim adjudication. Content addresses expected components of the service, typical utilization scenarios, and items to verify for claims processing.
Data not available in the input is noted where applicable. The material is intended for national audiences including billing staff, radiology administrators, and payer policy analysts seeking a focused briefing on CPT code 74210.
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Billing Code Overview
CPT code 74210 describes a radiological examination of the pharynx, the cervical esophagus, or both using contrast to enhance visualization. The procedure includes scout neck image(s) and delayed images when performed and is intended to evaluate swallowing, anatomic abnormalities, strictures, or other pathology of the pharynx and upper esophagus.
Service type: Diagnostic radiology — contrast study of the pharynx and cervical esophagus
Typical site of service: Imaging centers, hospital outpatient radiology departments, and outpatient clinics with fluoroscopy capabilities
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