CPT code 74230 describes a videofluoroscopic swallow study (VFSS) using barium sulfate contrast and cineradiography or videoradiography to visualize and record a patient’s swallowing mechanism. This functional radiologic procedure is central to diagnosing dysphagia, aspiration risk, and guiding multidisciplinary management for patients with suspected or known swallowing disorders. Nationally, accurate coding of CPT code 74230 affects clinical care pathways, utilization measurement, and imaging service workflows.

Key payers commonly referenced for coverage and reimbursement comparisons include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the procedure’s clinical role, typical sites of service, and the common billing context. The publication summarizes benchmarks and payment considerations across major payers, clarifies coding intent and procedure components, and outlines clinical scenarios where 74230 is typically applied.

This briefing supports clinicians, coding professionals, and administrators by clarifying what CPT code 74230 represents, where it is performed, and the policy and billing issues most relevant to its use in national practice settings.