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The CPT® Code 70371 refers to a complex dynamic pharyngeal and speech evaluation conducted through cine or video recording. This procedure is primarily utilized to assess the movements involved in speech production, particularly in pediatric patients who may exhibit speech delays. The evaluation focuses on the dynamic study of various anatomical structures, including the pharynx, mouth, tongue, and surrounding tissues of the throat. During the assessment, patients are prompted to articulate specific words, allowing for a comprehensive analysis of their speech mechanics. Fluoroscopy is employed to capture real-time recordings of how the tongue, palate, pharynx, and soft tissues of the mouth operate during speech. The resulting video recordings are then meticulously reviewed by both a speech pathologist and a radiologist to identify any underlying issues that may contribute to speech disturbances. This detailed evaluation is crucial for developing appropriate therapeutic interventions and enhancing communication abilities in affected individuals.
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The complex dynamic pharyngeal and speech evaluation by cine or video recording (CPT® Code 70371) is indicated for the following conditions:
The procedure for CPT® Code 70371 involves several key steps that ensure a comprehensive evaluation of speech dynamics:
Post-procedure care for patients undergoing the complex dynamic pharyngeal and speech evaluation typically involves a review of the findings with the patient and their caregivers. The speech pathologist may provide recommendations based on the evaluation results, which could include further diagnostic testing, therapeutic interventions, or referrals to other specialists if necessary. Patients may be advised on any specific follow-up appointments or additional assessments required to address identified speech issues. Overall, the goal is to ensure that the patient receives appropriate support and resources to enhance their speech development and communication skills.
| Short Descr | SPEECH EVALUATION COMPLEX | Medium Descr | CPLX DYNAMIC PHARYNGEAL&SP EVAL C/V REC | Long Descr | Complex dynamic pharyngeal and speech evaluation by cine or video recording | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | STV-Packaged Codes | ASC Payment Indicator | Packaged service/item; no separate payment made. | Type of Service (TOS) | 4 - Diagnostic Radiology | Berenson-Eggers TOS (BETOS) | I1F - Standard imaging - other | MUE | 1 | CCS Clinical Classification | 226 - Other diagnostic radiology and related techniques |
| 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | CG | Policy criteria applied | GN | Services delivered under an outpatient speech language pathology plan of care | GW | Service not related to the hospice patient's terminal condition | GZ | Item or service expected to be denied as not reasonable and necessary | KX | Requirements specified in the medical policy have been met | X5 | Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
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