Summary & Overview
CPT 92614: Laryngeal Sensory and Motor Endoscopic Evaluation
CPT code 92614 codes for flexible endoscopic laryngopharyngeal sensory testing with cine or video recording to assess sensory and motor deficits of the laryngeal mucosa and intrinsic muscles. This procedure is clinically important for diagnosing causes of dysphagia, aspiration risk, and voice dysfunction and informs management across otolaryngology and speech-language pathology services. Nationally, accurate coding of this specialized endoscopic evaluation supports appropriate clinical documentation, care coordination, and payer determinations for outpatient diagnostic procedures.
Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, United Healthcare, and Medicare. Readers will find a concise explanation of the clinical purpose and typical service setting for 92614, comparisons to related audiology and middle-ear testing codes for context, and a listing of commonly used modifiers and associated provider taxonomies. The summary also highlights relevant ICD-10 diagnosis examples that commonly accompany this service, such as sensorineural and unspecified hearing loss and encounters for ear and hearing examinations.
This publication is intended to provide clinicians, billers, and administrators with a clear description of CPT code 92614, its clinical application, and the payer landscape to support accurate claim preparation and clinical documentation. Data not available in the input are noted where applicable.
Billing Code Overview
CPT code 92614 describes laryngopharyngeal sensory testing using a flexible endoscope with cine or video recording. The procedure evaluates sensory and motor function of the laryngeal mucosa and intrinsic laryngeal muscles to identify deficits that may contribute to dysphagia, aspiration, or voice disorders.
Service Type: Endoscopic laryngeal sensory and motor evaluation
Typical Site of Service: Ambulatory clinic or hospital outpatient setting where flexible endoscopic instrumentation and video recording capabilities are available.
Clinical & Coding Specifications
Clinical Context
A 62-year-old patient presents to an otolaryngology clinic with a 6-month history of intermittent throat clearing, cough, and sensation of something stuck in the throat, with episodes of voice weakness and occasional aspiration when swallowing thin liquids. Prior audiology testing ruled out conductive hearing issues; the referring otolaryngologist orders a flexible endoscopic laryngopharyngeal sensory and motor evaluation with cine/video recording to assess laryngeal sensation and neuromuscular function.
The clinical workflow: the patient is consented and positioned in the outpatient procedure room. Topical anesthesia is applied to the nasal cavity as indicated. A flexible endoscope is introduced transnasally to visualize the laryngeal mucosa, vocal folds, arytenoids, and pharyngeal structures. Sensory testing (air-pulse or calibrated stimulus) and motor tasks (phonation, voicing, and cough) are performed while cine or video recording documents responses. Findings are reviewed by the otolaryngologist and/or audiologist, documented in a procedural note, and the recorded video is archived in the medical record for interpretation, rehabilitation planning, or communication with speech-language pathology.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
26 | Professional component | When billing only the physician interpretation of recorded laryngeal sensory/motor testing while the technical component is billed separately |