CPT code 74230 refers to a special test where doctors take video X-rays to see how well a person can swallow different foods and drinks. CPT 74230 represents “Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study.”
Procedure Explanation:
In this procedure, doctors use video X-rays to examine how well someone can swallow. They start by capturing normal X-ray images to check the neck’s structure. Then, they take video-like X-rays while the patient swallows food or liquid mixed with a special substance that makes it easier to see on X-rays. This test helps doctors figure out if swallowing problems exist. The procedure includes taking initial X-rays of the neck and may include waiting to take more images later, but it does not involve treating any issues found.
Common Names:
- Swallowing Study
- Modified Barium Swallow
- Video Swallow Study
Relative Value Units (RVU):
The RVUs associated with this code are 0.53.
How This Procedure Appears:
- Operating Room Schedule Name: Swallowing Function with Video X-ray
- Surgical Consent Form Name: Videoradiography of Swallowing
Typical Patients and Diagnoses:
This type of test is common for people who have trouble swallowing, such as those recovering from a stroke or suffering from throat problems. It helps in diagnosing swallowing disorders or blockages, and it’s often used for patients who find it difficult to eat or drink without coughing or choking, like elderly patients or individuals with neurological conditions.
Associated ICD-10 Codes:
- R13.10: Dysphagia, unspecified. This code is used when someone has trouble swallowing, but the exact reason isn’t clear.
- R13.12: Dysphagia, oropharyngeal phase. This code applies when swallowing difficulty happens between the mouth and throat.
- R13.19: Other dysphagia. This code is for generalized swallowing difficulties not specified elsewhere.
Summary
In summary, code 74230 describes a procedure where video X-rays are used to check a person’s ability to swallow properly. Typical ICD-10 codes associated with 74230 include R13.10 (unspecified trouble swallowing) and R13.12 (difficulty swallowing between mouth and throat).
Disclaimer
This post is for informational purposes only and is not a substitute for medical advice. “CPT” and CPT Codes are registered trademarks of the American Medical Association. HCPCS codes are managed by Medicare and are not subject to copyright.