Back to Top Skip to main content

Health.mil: the official website of the Military Health System (MHS) and the Defense Health Agency (DHA)

Utility Navigation Links

TRICARE Policy Manual 6010.60-M, April 1, 2015
Medicine
Chapter 7
Section 9.1
Electronystagmography (ENG)
Issue Date:  July 8, 1998
Copyright:  CPT only © 2006 American Medical Association (or such other date of publication of CPT). All Rights Reserved.
Revision:  C-1, March 10, 2017
1.0  CPT PROCEDURE CODE RANGE
92541 - 92547
2.0  DESCRIPTION
ENG refers to the recording of ocular nystagmus or eye movements by electrooculography in response to vestibular dysfunction. During ENG testing, the eye movements are recorded and analyzed by placing small electrodes on the skin around the eyes.
3.0  POLICY
3.1  ENG testing may be considered for cost-sharing to determine the diagnosis of vestibular system abnormalities including disorders that affect the peripheral or central vestibular system when ordered by a physician.
3.2  ENG testing should be reserved for the assessment of patients with vertigo, dizziness, or dysequilibrium and who are suspected of suffering from the following vestibular system abnormalities: The list of indications is not all inclusive. Other indications are covered when documented by reliable evidence as safe, effective, and comparable or superior to standard care (proven).
•  Meniere’s disease/Endolymphatic hydrops
•  Vestibular neuritis
•  Labyrinthine concussion
•  Recurrent vestibulopathy
•  Migraine-associated dizziness, benign paroxysmal vertigo of childhood
•  Labyrinthine ischemia
•  Chemical-induced vestibulotoxicity
4.0  EXCLUSIONS
4.1  Dynamic Posturography (Current Procedural Terminology (CPT) procedure code 92548) is unproven.
4.2  Vestibular rehabilitation therapy (HCPCS code S9476) for the treatment of benign paroxysmal positional vertigo is unproven.
5.0  EFFECTIVE DATE
June 1, 1996.
- END -

Utility Navigation Links

DoD Seal

tricare.mil is the official website of the Defense Health Agency (DHA) a component of the Military Health System

TRICARE is a registered trademark of the Department of Defense (DoD), DHA. All rights reserved.

CPT only © 2006 American Medical Association (or such other date of publication of CPT). All Rights Reserved.

If you have a question regarding TRICARE benefits, please go to the TRICARE Contact Us page page.
If you need help with technical/operational issues, please go to the TRICARE Manuals Online Help page.

The appearance of hyperlinks to external websites does not constitute endorsement by the DHA of these websites or the information, products or services contained therein. For other than authorized government activities, the DHA does not exercise any editorial control over the information you may find at other locations. Such links are provided consistent with the stated purpose of this DoD website.

v4.11.8372.15705

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.