92060’s official descriptor: “Sensorimotor examination with multiple measurements of ocular deviation (e.g., restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure).”

How do I document the sensorimotor exam?

How is the sensorimotor exam documented in the patient’s medical record? A. An order for the test should be noted in the chart. Test results for motor function are typically documented in a “tic-tac-toe” format to represent different fields of gaze.

Is CPT 92250 a bilateral code?

CPT codes 92250 and 92228 describe services that are performed bilaterally. Modifier 50 is never appropriate with these codes.