This study is also known as a modified barium swallow. The patient is seated and positioned upright or in a semi-reclining position. Foods and liquids of different quantities and textures are soaked in or mixed with barium and given to the patient for the study. The patient is fluoroscoped while he/she swallows the various test items, and the fluoroscopic image is recorded on videotape for later review. The radiologist observes the food/liquid while in the mouth and during chewing, the tongue's mobility, movement of the hyoid bone and larynx, closing of the larynx and contraction of the pharynx, the extent of the pharyngoesophageal opening, and any aspiration or penetration of the swallowed bolus into the upper airway. Muscle strength may also be measured.
The speech-language pathologist administers foods and liquids of varying consistencies, while the radiologist administers fluoroscopy.
If the radiologist documents a fluoroscopy-aided speech evaluation, you should report 70371 (Complex dynamic pharyngeal and speech evaluation by cine or video recording). Like the barium swallow study, this procedure assesses mouth and throat function, but, more specifically, it allows the speech-language pathologist to record how the patientâ€™s tongue, palate and other soft tissues function. Coders should never substitute 70371 when 74230 is more accurate, regardless of the fees associated with these codes.
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join