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CPT 92274: Multifocal Electroretinography (mfERG) for Retinal Function
CPT code 92274 denotes multifocal electroretinography (mfERG), an electrophysiologic diagnostic test that measures localized retinal function to detect focal retinal abnormalities and cone–rod dysfunction. Nationally, mfERG is a clinically important tool for diagnosing retinal disorders that may not be evident on structural imaging alone, informing specialty ophthalmology and retinal care pathways.
Key payers in this review include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The analysis summarizes coverage and billing contexts across major commercial payers and federal programs, highlighting clinical indications and service settings.
Readers will find a concise clinical context for the procedure, typical sites of service, and an overview of billing considerations tied to CPT code 92274. The publication outlines benchmarks commonly monitored in payer contracts, summarizes policy and coverage themes relevant to electrophysiology testing of the retina, and provides clarity on what documentation and clinical rationale are typically associated with this diagnostic service. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 92274 describes an electrophysiologic test of retinal function consisting of multifocal electroretinography (mfERG) to detect localized retinal abnormalities or cone–rod dysfunction. The procedure evaluates electrical responses generated by the retina, helping to identify focal retinal dysfunction and disturbances in rod and cone activity that affect visual function and color vision.
Service type: Diagnostic electrophysiology of the retina (multifocal electroretinography, mfERG)
Typical site of service: Ophthalmology clinic, retinal specialty center, or hospital outpatient diagnostic facility