Once you’ve screened your patients for visual field loss and established a need for more detailed testing, you have a variety of visual field tests available to you. Comprehensive visual field testing is the definitive tool for identifying and monitoring visual field loss, particularly in the management of glaucoma. CPT 92083 covers extended, automated testing protocols and full-threshold strategies. When documented correctly, 92083 is a high-value test, both for your practice and your patients.

Summary

• CPT 92083 applies to extended or comprehensive automated visual field tests like the 24-2C, Full Field 120, and other full-threshold exams.
• This code is most often used to monitor patients with known or suspected glaucoma, as well as those with documented visual field loss from neurological conditions.
• Virtual Field’s virtual reality perimetry makes it possible to run a billable, portable, more comfortable, and more efficient exam that integrates directly into your workflow.

What This Code Covers

The American Medical Association defines CPT^® 92083 as:

“Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (e.g., Goldmann visual fields with at least three isopters plotted and static determination within the central 30 deg, or quantitative, automated suprathreshold perimetry, Octopus program G-1, 32 or 42, Humphrey Visual Field Analyzer full threshold programs 30-2, 24-2, or 30/60-2.”

In other words, this is a thorough automated visual field test (comprehensive) that goes beyond basic screenings. It’s a diagnostic and disease management tool that provides robust documentation for both clinical decision-making and reimbursement.

This test uses three or more isopters, so you can collect very detailed data using either advanced tests or extended versions of intermediate exams. If you use only two isopters, these tests are billable as an intermediate exam (92082).

CPT code 92083 usually includes these tests:

• 24-2 and 24-2C
• 10-2
• 30-2
• Esterman visual field
• Full Field 120
• Goldmann kinetic perimetry
• N-30 extended
• Superior 64 extended
• 60-4 extended
• Foveal Threshold

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When and Why to Use Code 92083 with Virtual Field

CPT 92083 is most often performed when a patient already has a diagnosis, suspicion, or documented visual field loss that requires precise monitoring.

For example, you might have a patient who has confirmed open-angle glaucoma and has already had a CPT 92082 threshold test to establish a baseline. You now need to evaluate their progression and functional impact. Running a CPT 92083 comprehensive visual field test with the Virtual Field headset allows you to perform a 24-2C exam, compare results, and document subtle changes that impact management. Because the test integrates directly with the EHR, you have immediate access to results for both treatment planning and payer documentation.

The AMA definition of CPT 92083 singles out specific perimetry equipment that you can use, but Virtual Field uses the same codes, provides the same level of detail, and is reimbursable for the same amount. You can conduct advanced peripheral vision tests using Virtual Field just like a tabletop perimeter, but it takes less time and is much more patient-friendly.

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Eligibility and Clinical Indications

CPT 92083 is for complex analysis. Such use includes a comprehensive glaucoma visual field test, monitoring for progressive conditions, and getting pinpoint accurate details about visual field loss. This capability is beneficial for patients who are in the earlier stages of progressive conditions. That said, it cannot be used as an initial screening without medical justification.

Use CPT 92083 with patients who have confirmed diagnoses or clear-cut justification, like:

• Glaucoma management (primary open-angle, narrow-angle, secondary)
• Neurological conditions (stroke, tumor, MS, pituitary lesions)
• Functional assessments (driving eligibility using Esterman visual field)
• Progression monitoring after abnormalities found on 92081 or 92082

Most payers, including Medicare, reimburse for CPT 92083 when it is medically necessary. Be sure to use the correct ICD-10 codes for visual field loss and always check local coverage determinations (LCDs) for payor-specific frequency limits.

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Documentation Checklist

Avoiding CPT 92083 claims denials is possible with proper documentation. Be careful to collect medical necessity and documentation that shows precisely why the test was ordered, not just that it’s required. Careful documentation helps you stay compliant with payor guidelines.

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CPT 92083 Documentation Checklist:

• Reason for testing (routine, risk factor, preventive)
• Patient history (brief ocular or systemic relevant history)
• Visual field results (automated output)
• Interpretation statement by the ophthalmologist or optometrist
• Signed report stored in the patient's chart

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Step-by-Step Billing Workflow

Follow these simple steps to conduct the 92083 correctly and bill appropriately for full visual field reimbursement.

Step 1: Order the Test

Before you begin, confirm medical necessity and document the exact reason for the extended exam, like glaucoma progression monitoring or unexplained peripheral vision loss.

Step 2: Technician Performance

Conducting VR visual field testing is more efficient for your workflow and more comfortable for your patients. Virtual Field guides the patient through the exam, records reliability indices, automatically syncs with the EHR, and helps streamline documentation for you.

Step 3: Physician Interpretation

Review the field, document your findings, and sign off on the report. This step links the service to your visual field interpretation and report requirements.

Step 4: Claim Submission

Submit your claim under the correct visual field CPT code. Include modifiers if applicable, and select the correct ICD-10 code to justify medical necessity.

Relevant modifiers include:

• -26: Professional Component
• -TC: Technical Component
• -LT: Left Side
• -RT: Right Side

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Reimbursement and RVU Snapshot

The national average fee and RVUs (relative value units) for CPT 92083 are set by CMS (the Centers for Medicare & Medicaid Services). They are maintained in the Medicare Physician Fee Schedule (MPFS). These numbers can vary by region and by payor, so check for updates annually.

As of September 2025, the global period is zero days, meaning there are no bundled post-care limitations. Depending on location, setting, and modifiers, CPT code 92083 is currently reimbursable between $55 and $81. The current wRVU per unit is 0.50.

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Common Denial Reasons and How to Avoid Them

Beyond collecting medical necessity, there are a few reasons CPT 92083 could get denied. Fortunately, most of them are avoidable if you carefully review claims before submission.

Incorrect Use of 92083

Don’t use this code for screenings or low-risk patients. If you conducted a visual field exam that would normally be used under the limited or intermediate CPT code, but used three or more isopters, it becomes 92083, which then requires justification.

Incorrect Modifiers

All visual field codes are presumed bilateral, so don’t bill for each eye individually. Check for missing modifiers and only use LT/RT modifiers when absolutely necessary. 

Missing ICD-10 Linkage

Be sure to pair CPT 92083 with a valid ICD-10 code for visual field loss.

Incomplete Documentation

Missing the interpretation/report is a very common denial trigger. The EHR output alone is not enough. Be sure to submit interpretation details along with the claim.

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Extending the Value of CPT 92083 with Exceptional Eye Care

Testing visual field CPT code 92083 gives you clear, quantifiable data that drives glaucoma and neuro-ophthalmic care — and it can support your revenue flow. Using Virtual Field’s portable visual field device allows you to deliver these advanced exams almost anywhere, increase accessibility to your patients, and improve the patient experience. After as few as four exams with CPT 92083, Virtual Field pays for itself while helping you deliver more comprehensive eye care.

Schedule a Virtual Field demo today to see how comprehensive VR perimetry can help you offer more for your patients.

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Disclaimer: This article is for informational purposes only and should not be used as a substitute for professional medical or coding advice. Last updated September 2025.

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