Summary & Overview

CPT 0615T: Automated Eye Movement Analysis for Concussion Evaluation

CPT code 0615T covers automated assessment of eye movements — including binocular coordination, saccades, and pupillary light response — with interpretation and reporting. This code represents a growing class of objective, instrumented neurological assessments used in concussion evaluation and other neuro-ophthalmic contexts. Nationally, these services matter because they provide quantifiable physiologic data that can augment clinical exams, support triage decisions in emergency and outpatient settings, and create standardized documentation for care teams.

Key payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of what the code represents, typical sites of service and clinical context, common modifiers and billing considerations where available, and how the service fits into diagnostic workflows for suspected concussion or other neurologic conditions. The publication outlines expected uses of the code, interpretation and reporting requirements embedded in the code description, and practical coding notes. Data not available in the input are identified explicitly in relevant sections. The content is intended for a national audience of billing specialists, clinicians, and policy analysts seeking clarity on code purpose and operational implications.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicare0615TCPTneurologyconcussioneye-movement-analysisdiagnostic-imagingneuro-ophthalmologyambulatory-care

Billing Code Overview

CPT code 0615T describes an automated, instrumented analysis of eye movements used to assess neurological function, such as screening or evaluation for concussion. The service includes automated measurement of binocular coordination, saccadic (quick) eye movements, and pupillary light responses, along with the interpretation and generation of a clinical report.

Service type: Diagnostic automated eye movement analysis with interpretation
Typical site of service: Outpatient clinic, emergency department, sports medicine clinic, concussion clinic, or other ambulatory diagnostic settings where eye-movement assessment is performed

Clinical & Coding Specifications

Clinical Context

A 17-year-old high-school soccer player presents to an outpatient sports medicine clinic after a head-to-head collision during practice with transient dizziness and blurred vision. Neurologic exam is non-focal but the athlete reports difficulty tracking moving objects and intermittent headaches. The provider orders an automated eye-movement analysis to objectively assess ocular motility, saccades, smooth pursuit, vergence, and pupillary light reflex as part of concussion evaluation and baseline return-to-play decision-making.

The clinical workflow: the patient is seated in front of the eye-tracking device; the technician explains the test, positions the patient, and runs a standardized protocol that records binocular eye movements and pupillary responses. The automated system processes raw data and generates quantitative metrics and a standardized report. The interpreting clinician reviews the results, documents findings in the medical record, and includes the interpretation and report in the patient’s chart. Billing is submitted using 0615T, which includes the automated analysis and the interpretation/reporting.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when the procedure requires substantially greater work than usual, documented and supported.

Taxonomy Code	Specialty	Notes
`207RH0000X`	Ophthalmology	Eye movement analysis may be performed or interpreted by ophthalmologists for ocular motility and pupillary assessment.
`207V00000X`	Optometry	Optometrists commonly perform eye movement and vestibular-ocular testing in outpatient settings.
`2084P0800X`	Neurology	Neurologists interpret results in concussion and traumatic brain injury evaluations.
`261Q00000X`	Physical Medicine & Rehabilitation	PM&R physicians use results within concussion rehabilitation and vestibular therapy planning.
`163W00000X`	Emergency Medicine	Emergency physicians may order this test acutely for head injury assessment in the ED.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`S06.0X0A`	Concussion without loss of consciousness, initial encounter	Primary diagnosis for which automated eye movement analysis is commonly used to assess ocular-motor dysfunction after head injury.
`S06.0X1A`	Concussion with loss of consciousness of 30 minutes or less, initial encounter	Used when concussion includes brief LOC; eye-tracking provides objective data on ocular motor impairment.
`H53.2`	Diplopia	Patients reporting double vision may undergo eye movement analysis to evaluate extraocular muscle coordination and cranial nerve function.
`H53.4`	Visual field defects	If visual field concerns arise after head injury, this test helps differentiate ocular motor from visual pathway causes.
`R42`	Dizziness and giddiness	Common symptom after concussion; eye movement testing evaluates vestibulo-ocular and ocular motor contributions.
`F07.81`	Postconcussional syndrome	Used for ongoing symptoms after concussion; serial eye-movement testing can document persistent deficits guiding rehabilitation.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`96116`	Neurobehavioral status exam, 30 minutes	Performed in cognitive assessment of concussion; may be ordered alongside objective eye-movement testing for comprehensive evaluation.
`92083`	Visual field examination by automated static perimetry, unilateral or bilateral, with interpretation and report	May be performed if visual field defects are suspected in the setting of head injury.
`99183`	Physician attendance and supervision of high complexity moderate sedation services	Used if moderate sedation is required to perform testing in an uncooperative patient (rare).
`H2012`	Behavioral health day treatment, per diem (example of ancillary code — note: local payer edits vary)	Ancillary rehabilitation services such as vestibular therapy may follow abnormal eye movement testing; use varies by payer policies.
`G0506`	Comprehensive assessment of and care planning for patients requiring chronic care management (example care coordination)	Used when results lead to a multidisciplinary concussion care plan and billing for care coordination services.