POLICY STATEMENT

THE ROLE OF FLEXIBILE LARYNGOSCOPY VIDEOSTROBOSCOPY IN THE OFFICE EVALUATION AND MANAGEMENT OF PATIENTS WITH OTOLARYNGIC DISORDERS

Flexible laryngoscopy (31575) and strobovideolaryngoscopy (31579) are well established diagnostic procedures that are medically indicated for the diagnosis of voice, swallowing, and airway disorders.

Each procedure requires the application of distinct endoscopy skills, training, and judgement. These endoscopic procedures offer unique information in the functional and anatomic assessment of the upper airway.  These examinations can be performed in the office without taking the patient to the operating room or the endoscopy suite. The value of the procedures in a diagnosis and management of otolaryngic disorders is effective and they are not investigational. Some patients may require one or more of these diagnostic procedures performed individually or sequentially. The extended nature of examination of the structure and function of the upper aerodigestive tract is often comprehensive and complex.  The endoscopic evaluation of the upper airway should not be considered part of the routine office examination.

  • Flexible laryngoscopy or videostroboscopy should not be considered a routine part of the initial visit.
  • Flexible laryngoscopy or videostroboscopy should not be required to be done as a separate return visit.
  • Flexible laryngoscopy or videostroboscopy should not be mandated to be performed in a separate endoscopy suite or                  outpatient surgery center in order to be reimbursed.

    • Clearly defined clinical indicators based on ICD-9 diagnostic code groups have been developed in the literature to support the above positions.

    Adopted 9/10/1997 Submitted for Review 3/1/98 Reaffirmed 3/1/98