CPT for ENT: Electro-oculography

Q: Can Otolaryngologists Report the CPT Code 92270 (Electro-oculography with interpretation and report) to indicate Saccadic Testing during an Electronystamography/Videonystagmography (ENG/VNG) Procedure?

A: No. It has come to the Academy’s attention that otolaryngologists are reporting CPT code 92270 Electro-oculography with interpretation and report to describe saccadic testing during an ENG or VNG procedure. To follow the American Medical Association’s Current Procedural Terminology (CPT®) guidelines, providers should only use this code to document a standard test of the electrical potential created in a retina when exposed to light for the diagnosing of Best Vitelliform Maculopathy.

As a result, otolaryngologists and their practices should not report CPT code 92270 with ENG/VNG testing (CPT codes 92541-92547, Vestibular Functions Tests, With Recording). 

To ensure optimal reimbursement for any services rendered, remember to submit detailed clinical documentation that supports the physician’s treatment rationale.

Reviewed October 2023

IMPORTANT DISCLAIMER NOTICE

CPT FOR ENT ARTICLES ARE A COLLABORATIVE EFFORT BETWEEN THE ACADEMY’S TEAM OF CPT ADVISORS, MEMBERS OF THE PHYSICIAN PAYMENT POLICY (3P) WORKGROUP, AND HEALTH POLICY STAFF. ARTICLES ARE DEVELOPED TO ADDRESS COMMON CODING QUESTIONS RECEIVED BY THE HEALTH POLICY TEAM, AS WELL AS TO CLARIFY CODING CHANGES AND CORRECT CODING PRINCIPLES FOR FREQUENTLY REPORTED ENT PROCEDURES. THESE ARTICLES ARE NOT INTENDED AS LEGAL, MEDICAL, OR BUSINESS ADVICE AND ARE NOT A GUARANTEE OF REIMBURSEMENT. THE INFORMATION IS ALSO NOT MEANT TO SERVE AS THE DEFINITIVE OR SOLE AUTHORITY ON BILLING AND CODING ISSUES. THE APPLICABILITY OF AAO-HNS BILLING AND CODING GUIDANCE FOR A PARTICULAR PROCEDURE, MUST BE DETERMINED BY THE RESPONSIBLE PHYSICIAN IN LIGHT OF ALL THE CIRCUMSTANCES PRESENTED BY THE INDIVIDUAL PATIENT. YOU SHOULD CONSULT WITH YOUR OWN ADVISORS AS WELL AS MEDICARE OR PRIVATE CARRIERS IN MAKING ANY DECISIONS ABOUT HOW TO BILL AND CODE PARTICULAR SERVICES OR PROCEDURES.