CurrentCapital BluecrossPolicy MP 2.011

DYNAMIC POSTUROGRAPHY

Policy Summary

PayerCapital Bluecross

PolicyDYNAMIC POSTUROGRAPHY

Policy CodePolicy MP 2.011

Change TypeClarified; Coding added (historical)

Effective DateAug 1, 2025

Next Review Date

Key ActionVerify member's specific product/benefit for applicability of this policy and refer to FEP Medical Policy Manual for FEP PPO members.

POLICY UPDATE CHANGES

Policy statement: Dynamic posturography is considered investigational.

Code 92549 added to coding list in 01/01/2020 update.

1Coverage stance: Investigational

2Procedure codes listed

2025-08-01Effective date

Coverage Summary

Policy governs coverage determination for computerized dynamic posturography (procedure codes 92548, 92549) for products administered by Capital Blue Cross, noting product/benefit variations may apply and referencing FEP PPO guidance for that product. Policy stance: Dynamic posturography considered investigational. Effective: 2025-08-01. Last review: 2025-04-01. Supporting statement: Dynamic posturography is considered investigational; there is insufficient evidence to support a general conclusion concerning the health outcomes or benefits associated with this procedure.

Medical Necessity / Coverage Determination

Coverage Determination

Dynamic posturography is considered investigational.

Investigational statement: Dynamic posturography is considered investigational and therefore not supported due to insufficient evidence to demonstrate improved health outcomes.

Not Covered / Investigational

Dynamic posturography is considered investigational and therefore not covered. Cross-sectional comparisons and retrospective series exist but there are no generally accepted reference standards and no studies demonstrating clinical utility that would lead to changes in management improving outcomes. Definition term: Dynamic posturography (full definition provided in the Definitions section).

Procedure Codes (listed in policy coding information)CPT/HCPCS/mixedNot Covered

92548	Computerized dynamic posturography; per standard coding terminology (as listed in policy)
92549	Computerized dynamic posturography; additional or alternative code (as listed in policy)

Provider Actions & Impact

Denial Risk

Investigational service denial risk

Claims for dynamic posturography (92548, 92549) are subject to noncoverage as the procedure is considered investigational due to insufficient evidence of improved health outcomes.

92548
92549

Documentation Required

Benefit variation check

Verify member's specific product/benefit for applicability of this policy and refer to FEP Medical Policy Manual for FEP PPO members.

Background & Evidence

Dynamic posturography provides quantitative assessment of balance by altering the platform and visual surround to assess sensory contributions to postural control. The test uses a force platform and sway-referencing to evaluate visual, somatosensory/proprioceptive, and vestibular components across multiple conditions, but it cannot localize the site of a lesion. There is no accepted reference standard for the test and available studies have not demonstrated clinical utility that leads to management changes improving health outcomes.

Evidence summary: Cross-sectional comparisons of patients and controls and retrospective case series have been reported, but these data are insufficient to determine effects on health outcomes; there are no studies demonstrating clinical utility that change management to improve outcomes.

Term	Definition
Dynamic posturography	A computerized test measuring balance using a force platform while altering visual and somatosensory cues through sway-referencing to assess sensory organization for postural control.

Revision History

04/01/2025clarificationLatest

Consensus review on 04/01/2025 clarified that the policy statement remains: Dynamic posturography is considered investigational.

01/01/2020coding update

Administrative update on 01/01/2020 added CPT code 92549 to the policy coding list.