How To Use CPT Code 92060

CPT 92060 refers to a sensorimotor examination with multiple measurements of ocular deviation, interpretation, and report. This article will cover the description, procedure, qualifying circumstances, usage, documentation requirements, billing guidelines, historical information, similar codes, and examples of CPT 92060.

1. What is CPT 92060?

CPT 92060 is a medical code used to describe a comprehensive sensorimotor examination of the eyes, which involves multiple measurements of ocular deviation, interpretation, and report. This examination is essential for assessing and monitoring patients with strabismus (lazy eye) and other ocular alignment disorders.

2. 92060 CPT code description

The official description of CPT code 92060 is: “Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure)”.

3. Procedure

The 92060 CPT code procedure involves the following steps:

1. Examination of the patient’s eye alignment and their ability to move together in eight fields of gaze (up, down, right, left, up-left, up-right, down-left, down-right).
2. Measurement of ocular deviation in multiple different fields of gaze and at different distances.
3. Assessment of the patient’s response to whether they see one object or more than one.
4. Testing of stereopsis (depth perception).
5. Interpretation of the findings and preparation of a detailed report.

4. Qualifying circumstances

Patients eligible to receive CPT code 92060 services are those who:

• Have a diagnosis of strabismus (lazy eye) or other ocular alignment disorders.
• Require a comprehensive sensorimotor examination to assess the severity of their condition and monitor its progress.
• Need to evaluate the effectiveness of treatment interventions, such as surgery or vision therapy.

5. When to use CPT code 92060

It is appropriate to bill the 92060 CPT code when a patient requires a comprehensive sensorimotor examination to assess and monitor their ocular alignment disorder, such as strabismus. This code should be used when the examination involves multiple measurements of ocular deviation, interpretation, and report, and is separate from a routine eye exam or E/M service.

6. Documentation requirements

To support a claim for CPT 92060, the following information needs to be documented:

• Patient’s medical history and presenting symptoms.
• Diagnosis of strabismus or other ocular alignment disorder.
• Details of the sensorimotor examination, including measurements of ocular deviation in multiple fields of gaze and at different distances.
• Patient’s response to whether they see one object or more than one.
• Results of stereopsis (depth perception) testing.
• Interpretation of the findings and a detailed report.

7. Billing guidelines

When billing for CPT code 92060, keep in mind the following guidelines and rules:

• Ensure that the sensorimotor examination is separate from a routine eye exam or E/M service.
• Document the extra testing for 92060 separately, above and beyond the regular exam documentation.
• Verify that the patient meets the qualifying circumstances for receiving CPT code 92060 services.
• Ensure that all required documentation is complete and accurate to support the claim.

8. Historical information

CPT 92060 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Similar codes to CPT 92060

Five similar codes to CPT 92060 and how they differentiate are:

• CPT 92002: Describes a general eye examination for a new patient, including history, examination, diagnosis, and treatment plan.
• CPT 92004: Refers to a comprehensive eye examination for a new patient, including history, examination, diagnosis, and treatment plan, with initiation of diagnostic and treatment programs.
• CPT 92012: Describes a general eye examination for an established patient, including history, examination, diagnosis, and treatment plan.
• CPT 92014: Refers to a comprehensive eye examination for an established patient, including history, examination, diagnosis, and treatment plan, with initiation of diagnostic and treatment programs.
• CPT 92015: Describes the determination of refractive state, which is the process of measuring the eye’s refractive error and determining the appropriate corrective lenses.

10. Examples

Here are 10 detailed examples of CPT code 92060 procedures:

1. A patient with a history of strabismus undergoing a comprehensive sensorimotor examination to assess the severity of their condition and monitor its progress.
2. A patient who has recently undergone strabismus surgery and requires a sensorimotor examination to evaluate the effectiveness of the intervention.
3. A child with suspected strabismus undergoing a comprehensive sensorimotor examination to confirm the diagnosis and determine the appropriate treatment plan.
4. A patient with diplopia (double vision) requiring a sensorimotor examination to assess the underlying cause and determine the appropriate treatment plan.
5. A patient with a history of head trauma undergoing a sensorimotor examination to assess the impact on their ocular alignment and function.
6. A patient with a neurological disorder, such as multiple sclerosis, undergoing a sensorimotor examination to assess the impact on their ocular alignment and function.
7. A patient with a history of thyroid eye disease requiring a sensorimotor examination to assess the severity of their ocular alignment disorder and monitor its progress.
8. A patient with a cranial nerve palsy undergoing a sensorimotor examination to assess the impact on their ocular alignment and function.
9. A patient with a history of ocular surgery, such as cataract or retinal detachment surgery, requiring a sensorimotor examination to assess the impact on their ocular alignment and function.
10. A patient with a congenital ocular alignment disorder, such as Duane syndrome, undergoing a sensorimotor examination to assess the severity of their condition and monitor its progress.