42975 Dise evaluation slp do birth flx diagnosis
Also known as: laryngeal videostroboscopy, videoscopy exam, endoscopic swallowing evaluation
Endoscopic evaluation and imaging of the larynx, pharynx, and associated structures to assess swallowing function, airway dynamics, or breathing patterns during specified tasks.
In Plain Language
camera examination of throat and voice box to check swallowing and breathing
Clinical Context
Diagnostic procedure used for dysphagia evaluation, vocal cord mobility assessment, aspiration risk, and laryngeal pathology. Important for swallowing studies and voice assessment.
RVU Breakdown
| Work RVU | 1.54 |
| Total RVU | 1.54 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.54, this code ranks in the 10th percentile among Surgery codes — 5.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 42975?
CPT 42975 (Dise evaluation slp do birth flx diagnosis) is a Surgery code. Endoscopic evaluation and imaging of the larynx, pharynx, and associated structures to assess swallowing function, airway dynamics, or breathing patterns during specified tasks.
What is the wRVU value for CPT 42975?
The work RVU for CPT 42975 is 1.54. This code is primarily used by Otolaryngology, Speech-Language Pathology.
When is CPT 42975 used?
Diagnostic procedure used for dysphagia evaluation, vocal cord mobility assessment, aspiration risk, and laryngeal pathology. Important for swallowing studies and voice assessment.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.