CPT 92270 Electro‑oculography Reimbursement | OpenPayer

Summary & Overview

CPT 92270: Electro-oculography with Interpretation and Report

CPT code 92270 represents electro-oculography with interpretation and report — a diagnostic electrophysiology test that measures electrical potentials around the eyes to evaluate eye movements and related disorders. Nationally, this procedure supports diagnosis and monitoring of vestibular, neurologic, and ocular motility conditions, informing clinical decisions for ophthalmologists, neurologists, and neuro-ophthalmologists. Its proper coding affects clinical documentation, billing accuracy, and utilization tracking across outpatient settings.

Key payers referenced in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication outlines how CPT code 92270 is defined, typical sites of service, and payer coverage themes relevant to diagnostic ocular electrophysiology.

Readers will find: concise benchmarks and coverage notes where available; clinical context explaining when electro-oculography is used; and policy-relevant considerations for documentation and report generation. Data not available in the input is noted where applicable. The summary is intended for a national audience of clinicians, billing professionals, and policy analysts who need a clear, practice-focused reference for CPT code 92270.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareCPT 92270electro-oculographyocular electrophysiologyophthalmology diagnosticsneurology testingoutpatient diagnostic services

Billing Code Overview

CPT code 92270 describes electro-oculography with interpretation and report. The procedure involves measuring the electrical potential between electrodes placed near the eyes to assess eye movements, followed by clinical interpretation of the recorded signals and preparation of a formal report.

Service Type: Diagnostic electrophysiology of ocular motility

Typical Site of Service: Ambulatory clinic or hospital outpatient setting where ophthalmology, neurology, or clinical neurophysiology diagnostic testing is performed

Clinical & Coding Specifications

Clinical Context

A typical patient is an adult referred by an ophthalmologist or neurologist for evaluation of abnormal eye movements, diplopia, vertigo, or suspected vestibular-ocular dysfunction. The patient presents to an outpatient ophthalmology clinic or a specialty neuro-ophthalmology/vestibular testing center. After intake and review of medical history (including prior strabismus, cranial nerve palsy, traumatic brain injury, multiple sclerosis, or vestibular neuritis), surface electrodes are placed at periocular sites to measure the standing corneo-retinal potential and eye movement-related potentials. The provider (an ophthalmologist, neuro-ophthalmologist, or vestibular specialist) oversees electrode placement, conducts calibration and recording during specific gaze and eye movement tasks, interprets electro-oculography waveforms, documents findings, and prepares a formal report. Typical site of service is an outpatient clinic or ambulatory surgical center equipped for diagnostic electrophysiology; performance may also occur in a hospital outpatient department. The service involves patient preparation, electrode application, test execution, professional interpretation, and generation of a written report consistent with 92270.

Coding Specifications

Modifier	Description	When to Use
`26`	Professional component	Use when billing only the physician interpretation/report portion of separate from technical recording.

CPT 92287: Iris Vascular Imaging for Neovascularization

CPT-92288-ROD-FUNCTION-DARK-ADAPTATION-SCREENING

CPT 92288: Dark Adaptation/Rod Function Screening Test

CPT-92285-OCULAR-PHOTOGRAPHY-DOCUMENTATION

CPT 92285: Photography of Ocular Abnormalities for Documentation

CPT-92283-ANOMALOSCOPE-COLOR-VISION-TESTING-RED-GREEN

CPT 92283: Anomaloscope Color Vision Testing

CPT-92286-ANTERIOR-SEGMENT-OCULAR-VASCULAR-EXAMINATION-INTERPRETATION

CPT 92286: Anterior Segment Ocular Vascular Examination with Interpretation

CPT-92274-MULTIFOCAL-ELECTRORETINOGRAPHY-MFERG-RETINAL-FUNCTION

CPT 92274: Multifocal Electroretinography (mfERG) for Retinal Function

CPT-92265-EXTRAOCULAR-MUSCLE-ELECTROMYOGRAPHY

CPT 92265: Electromyography of Extraocular Muscles

CPT-92273-ELECTROPHYSIOLOGIC-TEST-RETINAL-FUNCTION-ERG

CPT 92273: Electrophysiologic Test of Retinal Function

CPT-92284-RETINAL-PHOTORECEPTOR-FUNCTION-TESTING-DARK-ADAPTATION

CPT 92284: Retinal Photoreceptor Function Testing and Dark Adaptation

92270

Taxonomy Code	Specialty	Notes
207W00000X	Ophthalmology	Ophthalmologists commonly perform and interpret ocular electrophysiology including electro-oculography.
2080P0207X	Neurology	Neurologists, especially neuro-ophthalmologists, evaluate eye movement disorders and vestibular-related findings.
3336C0003X	Otolaryngology	Otolaryngologists with vestibular specialization may incorporate ocular movement testing into vestibular assessments.
2084P0800X	Physical Medicine & Rehabilitation	Physiatrists involved in vestibular rehabilitation may order and interpret results as part of multidisciplinary care.
207R00000X	Pediatric Ophthalmology	Pediatric ophthalmologists perform EOG for congenital or developmental eye movement disorders in children.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`H50.3`	Paralytic strabismus	EOG can document abnormal eye movement potentials associated with cranial nerve palsies.
`H51.1`	Oculomotor dysfunction	Used to evaluate objective eye movement abnormalities underlying diplopia and gaze limitation.
`H81.2`	Benign paroxysmal vertigo	Eye movement recordings support vestibular origin of vertigo by documenting nystagmus.
`H81.4`	Vestibular neuronitis	EOG aids in assessing vestibular-ocular pathway involvement during acute and recovery phases.
`G45.9`	Transient cerebral ischemic attack, unspecified	Ocular motor testing may be part of evaluation when transient diplopia or visual symptoms suggest cerebrovascular events.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`92492`	Eye movement recording (e.g., electronystagmography), including recording and interpretation	Often performed alongside or instead of `92270` when detailed vestibular nystagmus assessment is required.
`95930`	Nerve conduction studies; 9–10 studies	Not directly related but may be performed in broader neurodiagnostic workups for neurologic causes of ocular motor dysfunction.
`92083`	Visual field examination, extended	May be performed in the same clinical evaluation to assess visual function when ocular motor abnormalities are present.
`92250`	Fundus photography with interpretation and report	May be performed before or after EOG as part of comprehensive retinal/ocular assessment.
`92020`	Comprehensive ophthalmological services; new patient	Represents an initial comprehensive exam that may lead to ordering `92270` as a diagnostic test.

OpenPayer