92270 Electro-oculography w/i&r
What 92270 is
CMS fee schedule short descriptor: Electro-oculography w/i&r.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 92270 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.79 | 2.95 | 0.03 | 3.77 | $125.92 |
| Facility (hospital, ASC) | 0.79 | 2.95 | 0.03 | 3.77 | $125.92 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.
Medically Unlikely Edit (MUE)
Medicare caps 92270 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: CMS Policy. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 92270? These codes are bundled into it
92270 is a Column 1 code in 22 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
92517 | Vemp test i&r cervical | 0 - no modifier bypass | Check pair |
92518 | Vemp test i&r ocular | 0 - no modifier bypass | Check pair |
92519 | Vemp tst i&r cervical&ocular | 0 - no modifier bypass | Check pair |
92537 | Caloric vstblr test w/rec | 0 - no modifier bypass | Check pair |
92538 | Caloric vstblr test w/rec | 0 - no modifier bypass | Check pair |
92541 | Spontaneous nystagmus test | 0 - no modifier bypass | Check pair |
92542 | Positional nystagmus test | 0 - no modifier bypass | Check pair |
92544 | Optokinetic nystagmus test | 0 - no modifier bypass | Check pair |
92545 | Oscillating tracking test | 0 - no modifier bypass | Check pair |
92546 | Sinusoidal rotational test | 0 - no modifier bypass | Check pair |
92547 | Supplemental electrical test | 0 - no modifier bypass | Check pair |
92548 | Cdp-sot 6 cond w/i&r | 0 - no modifier bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
99211 | Off/op est may x req phy/qhp | 1 - modifier may bypass | Check pair |
99446 | Ntrprof ph1/ntrnet/ehr 5-10 | 1 - modifier may bypass | Check pair |
99447 | Ntrprof ph1/ntrnet/ehr 11-20 | 1 - modifier may bypass | Check pair |
99448 | Ntrprof ph1/ntrnet/ehr 21-30 | 1 - modifier may bypass | Check pair |
99449 | Ntrprof ph1/ntrnet/ehr 31/> | 1 - modifier may bypass | Check pair |
99451 | Ntrprof ph1/ntrnet/ehr 5/> | 1 - modifier may bypass | Check pair |
99452 | Ntrprof ph1/ntrnet/ehr rfrl | 1 - modifier may bypass | Check pair |
92270 is bundled into these codes
92270 appears as a Column 2 code in 11 active edits. Reported with one of these Column 1 codes on the same date of service, 92270 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0615T | Auto alys binocular eye mvmt | 0 | Check pair |
92540 | Basic vestibular evaluation | 0 | Check pair |
92549 | Cdp-sot 6 cond w/i&r mct&adt | 0 | Check pair |
95782 | Polysom <6 yrs 4/> paramtrs | 1 | Check pair |
95783 | Polysom <6 yrs cpap/bilvl | 1 | Check pair |
95808 | Polysom any age 1-3> param | 1 | Check pair |
95810 | Polysom 6/> yrs 4/> param | 1 | Check pair |
95811 | Polysom 6/>yrs cpap 4/> parm | 1 | Check pair |
G0398 | Home sleep test/type 2 porta | 0 | Check pair |
G0399 | Home sleep test/type 3 porta | 0 | Check pair |
G0400 | Home sleep test/type 4 porta | 0 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.