How To Use CPT Code 92545

CPT 92545 describes a test that assesses a patient’s balance and their ability to track a moving visual target on the fovea, a small indentation in the macula of the retina. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 92545?

CPT 92545 can be used to describe a test performed by a healthcare provider to evaluate a patient’s balance and their ability to track a moving visual target on the fovea, which is located in the macula of the retina. This code is used when the provider uses an electronystagmography (ENG) recording device to assess the patient’s eye movements and determine their gain, comparing it to age-matched norms.

2. Official Description

The official description of CPT code 92545 is: ‘Oscillating tracking test, with recording.’

3. Procedure

1. The healthcare provider performs the oscillating tracking test using an electronystagmography (ENG) recording device.
2. The patient looks at a moving target, such as a light, that moves in a smooth pendular manner.
3. The provider analyzes the patient’s eye movements and determines the gain, which is the target velocity divided by eye velocity.
4. The gain is compared to age-matched norms to evaluate the patient’s balance and detect any underlying neurological disorders.

4. Qualifying circumstances

CPT 92545 is typically performed to assess patients with balance disorders or suspected neurological disorders. It should not be reported in conjunction with CPT codes 92270, 92540, or the set of 92541, 92542, and 92544.

5. When to use CPT code 92545

CPT code 92545 should be used when a healthcare provider performs an oscillating tracking test with recording to evaluate a patient’s balance and eye movements. It is important to note that this code should not be reported with certain other codes, as mentioned in the qualifying circumstances section.

6. Documentation requirements

To support a claim for CPT 92545, the healthcare provider must document the following information:

• Reason for performing the test, such as suspected balance or neurological disorders
• Description of the oscillating tracking test performed
• Date of the test
• Results of the test, including the gain and any deviations from age-matched norms
• Signature of the healthcare provider performing the test

7. Billing guidelines

When billing for CPT 92545, ensure that the test is performed using an electronystagmography (ENG) recording device. It is important to note that this code should not be reported in conjunction with certain other codes, as mentioned in the qualifying circumstances section. Additional tips for reporting CPT 92545 can be found in the provided knowledge section.

8. Historical information

CPT 92545 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A healthcare provider performs an oscillating tracking test with recording to evaluate a patient with suspected balance disorders.
2. Using an electronystagmography (ENG) recording device, a provider assesses a patient’s eye movements and gain to detect any underlying neurological disorders.
3. A patient undergoes an oscillating tracking test with recording to evaluate their balance and eye movements as part of a comprehensive neurological assessment.
4. A healthcare provider performs an oscillating tracking test with recording to monitor the progress of a patient with a known balance disorder.
5. Using an ENG recording device, a provider evaluates a patient’s eye movements and gain during an oscillating tracking test to assess their balance and detect any abnormalities.
6. A patient undergoes an oscillating tracking test with recording to determine their gain and compare it to age-matched norms as part of a vestibular function evaluation.
7. A healthcare provider performs an oscillating tracking test with recording to assess a patient’s balance and eye movements following a head injury.
8. Using an ENG recording device, a provider evaluates a patient’s eye movements and gain during an oscillating tracking test to rule out any underlying neurological disorders.
9. A patient undergoes an oscillating tracking test with recording to assess their balance and eye movements as part of a preoperative evaluation.
10. A healthcare provider performs an oscillating tracking test with recording to evaluate a patient’s balance and eye movements as part of a diagnostic workup for dizziness.