CurrentUnitedHealthcarePolicy CS023KS.02

Computerized Dynamic Posturography (for Kansas Only)

UnitedHealthcare Community Plan medical policy for the use of computerized dynamic posturography (CDP) governing coverage decisions in the state of Kansas only. Defines coverage rationale, clinical evidence summary, applicable CPT procedure codes, and policy history.

Policy Summary

PayerUnitedHealthcare

PolicyComputerized Dynamic Posturography (for Kansas Only)

Policy CodePolicy CS023KS.02

Change TypeRevised Clinical Evidence

Effective DateApr 1, 2026

Next Review Date

Key ActionThis Medical Policy applies only to the state of Kansas; verify federal, state, or contractual requirements which may govern coverage if conflicting.

POLICY UPDATE CHANGES

Updated Clinical Evidence section to reflect the most current information.

1State-specific policy (Kansas)

2CPT codes referenced

0Covered indications

Coverage Summary

This is the UnitedHealthcare Community Plan medical policy for Computerized Dynamic Posturography (CDP) applicable to the state of Kansas (Policy Number CS023KS.02), effective April 1, 2026. The policy defines the coverage rationale, summarizes clinical evidence, lists applicable CPT procedure codes for reference, and provides policy history and revision information.

Medical Necessity Determination

Coverage Rationale / Medical Necessity Determination

Computerized dynamic posturography testing is considered:

Unproven and not medically necessary for evaluating any condition, including but not limited to balance disorders, due to insufficient evidence of efficacy.

Clinical takeaway: Computerized dynamic posturography (CDP) is considered unproven and not medically necessary for evaluating any condition, including but not limited to balance disorders, because there is insufficient evidence of efficacy and a lack of high-quality trials demonstrating diagnostic utility or patient-relevant outcome benefits.

Coding

Applicable CPT codes (listed for reference)CPTNot Covered

92548	Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions, including interpretation and report.
92549	Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions, including interpretation and report; with motor control test (MCT) and adaptation test (ADT).

Applicable CPT codes (listed for reference)CPTNot Covered

92548	Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions, including interpretation and report.
92549	Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions, including interpretation and report; with motor control test (MCT) and adaptation test (ADT).

Provider Actions & Billing Notes

Billing Rule

Code reference only

The following CPT codes are provided for reference only. Inclusion in this policy does not imply the service is covered or that reimbursement is permitted under benefit contracts.

92548
92549

Documentation Required

State-specific application

This policy applies only to the state of Kansas. Verify applicable federal, state, or contractual requirements, which govern benefit coverage and take precedence in the event of a conflict.

Documentation Required

Use of InterQual/other criteria

UnitedHealthcare uses InterQual for primary medical/surgical criteria. If InterQual does not have applicable criteria, UnitedHealthcare may use other approved UnitedHealthcare medical policies (as authorized by the Kansas Department of Health and Environment).

Background & Evidence Summary

Computerized dynamic posturography (CDP) uses a moving platform (also called moving platform posturography or balance board testing) to evaluate an individual’s ability to maintain balance by manipulating vision, proprioception, and vestibular inputs. Although CDP aims to help isolate vestibular causes of imbalance and includes tests such as the Sensory Organization Test (SOT), motor control test (MCT), and adaptation test (ADT), the peer-reviewed literature provides weak evidence for its efficacy. There is a lack of well-designed trials showing diagnostic utility compared with standard tests (e.g., electronystagmography, rotational chair) and insufficient evidence that CDP testing leads to consistent, beneficial patient-relevant outcomes.

Evidence Item	Summary
Overall evidence strength	Weak; insufficient high-quality trials demonstrating diagnostic utility or patient-relevant outcome benefits
Hayes review	No studies met inclusion criteria (2021, updated 2023); weak guideline support based on expert opinion
Randomized trial (David & Shahnaz 2024)	Small RCT (n=37) comparing clinic-based CVRT vs HEP; improvements in SOT composite and dynamic equilibrium scores with CVRT but limitations and no consistent differences in participant-reported outcomes between groups

Definition — Computerized dynamic posturography (CDP): A platform device test (also called moving platform or balance board testing) evaluating an individual's ability to maintain balance under varying sensory conditions, including the Sensory Organization Test (SOT), Motor Control Test (MCT), and Adaptation Test (ADT).

Revision History

2026-04-01policy_revisionLatest

Summary of Changes dated 04/01/2026; previous policy CS023KS.01 archived. Updated Clinical Evidence section to reflect the most current information.

2026-04-01policy_effective_dateLatest

Policy number CS023KS.02 effective April 1, 2026; Medical Policy applies only to the state of Kansas.

2026-04-01coverage_determinationLatest

Computerized dynamic posturography testing (CDP) is considered unproven and not medically necessary for evaluating any condition due to insufficient evidence of efficacy.

2026-04-01codes_listedLatest

Applicable CPT codes listed for reference only: 92548 (CDP-SOT, 6 conditions) and 92549 (CDP-SOT with MCT and ADT); listing does not imply coverage or reimbursement.

2026-04-01evidence_summaryLatest

Overall evidence strength labeled as weak: lack of well-designed trials demonstrating diagnostic utility or consistent patient-relevant outcome benefits; Hayes review (2021, updated 2023) found no studies meeting inclusion criteria.