2025 CPT code 92265
Effective Date: N/A Medicine Services and Procedures - Ophthalmology Services and Procedures Feed
Needle oculoelectromyography of one or more extraocular muscles, one or both eyes, with interpretation and report.
Modifiers may be applicable to indicate specific circumstances, such as reduced services (modifier 52) or unusual circumstances (modifier 22).Refer to current CPT coding guidelines for proper modifier usage.
Medical necessity must be established based on signs, symptoms, or other objective findings suggestive of a neuromuscular disorder affecting the extraocular muscles.This may include, but is not limited to, symptoms like double vision, drooping eyelids, or abnormal eye movements.Prior related diagnostic test results, treatments, and response to previous therapies should also be documented.
The physician is responsible for preparing the patient, administering anesthesia, inserting the needle electrode, interpreting the electromyographic data, and generating a report explaining the findings and their impact on the patient's treatment and prognosis.
In simple words: This test is similar to an electromyography (EMG) performed on other muscles, but specifically targets the muscles that control eye movement.A small needle is inserted into the eye muscles to measure their electrical activity, helping doctors diagnose conditions like myasthenia gravis. The doctor's interpretation of the test results is included.
This code represents a procedure where a needle electrode is inserted into one or more extraocular muscles to assess their electrical activity. This helps in diagnosing conditions like myasthenia gravis or other neuromuscular disorders affecting the eye muscles. The procedure includes interpretation and report.
Example 1: A patient presents with double vision and drooping eyelids. To evaluate for myasthenia gravis, 92265 is performed., A patient with known myasthenia gravis experiences worsening eye muscle weakness. 92265 is performed to assess disease progression., A patient exhibits signs of an isolated peripheral neuropathy potentially affecting the eye muscles, and 92265 is performed for diagnostic purposes.
Documentation should include medical necessity for the test, patient informed consent, type of anesthesia used, muscles tested, a detailed report of the findings, interpretation of the results, and how these findings will influence the patient's treatment plan and prognosis.
- Specialties:Neurology, Ophthalmology
- Place of Service:Office, Outpatient Hospital