Summary & Overview
CPT 92060: Comprehensive Ocular Motility and Binocular Function Exam
CPT code 92060 designates a comprehensive eye sensorimotor examination that quantifies ocular deviation across multiple gaze positions and distances, evaluates single versus multiple image perception, and includes stereopsis testing. This code is clinically important for diagnosing and managing strabismus and other ocular motility disorders and supports ophthalmologists and optometrists in documenting in-depth functional binocular assessments. Nationally, accurate use of 92060 affects clinical tracking, continuity of care for patients with amblyopia or diplopia, and appropriate billing for specialized diagnostic encounters.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will learn the clinical intent of the code, typical sites where the exam is performed, and common billing considerations. The publication provides benchmarks and policy-relevant context for payers and providers, clarifies when a more extensive sensorimotor assessment is represented by 92060, and summarizes how this service fits into broader eye care service lines. Data not available in the input are identified where applicable.
Billing Code Overview
CPT code 92060 describes a comprehensive eye sensorimotor examination focused on ocular alignment and binocular function. The service includes measurement of ocular deviations in multiple fields of gaze and at different distances, assessment of whether the patient perceives one or multiple images, and testing of stereopsis (depth perception). The exam is used in the assessment and follow-up of strabismus and related ocular motility disorders.
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Service type: Eye sensorimotor and binocular function evaluation (comprehensive ocular motility assessment)
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Typical site of service: Ophthalmology or optometry clinic, outpatient eye care center
Clinical & Coding Specifications
Clinical Context
A 7-year-old child is referred to a pediatric ophthalmology clinic for evaluation of an intermittent inward turning of the right eye noticed by the parents during near tasks and when tired. The clinic visit includes history (onset, intermittency, previous treatments), measurement of visual acuity, and a comprehensive sensorimotor examination. The clinician performs an extensive ocular motility and alignment assessment as described by 92060: measurement of ocular deviation in primary gaze and in multiple fields of gaze at distance and near, cover-uncover and alternate cover testing, prism neutralization to quantify tropia and phoria, suppression testing, and stereopsis (depth perception) testing. The patient is asked whether they see one or two images during binocular testing. Results are documented with prism diopters in each field, stereoacuity score, and comparison to prior measurements when available. Typical workflow includes pre-test visual acuity and refraction (if indicated), the 92060 sensorimotor measurements performed by the ophthalmologist or orthoptist under physician supervision, and a management discussion documenting treatment options (glasses, occlusion, vision therapy, or surgery) and follow-up planning. The typical site of service is an ophthalmology or optometry clinic, pediatric ophthalmology practice, or ambulatory surgery center for preoperative assessments; the service is commonly used in both initial assessment and follow-up of strabismus and amblyopia management.
Coding Specifications
| Modifier | Description | When to Use |
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