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tci ED Coding & Reimbursement Alert - 2017 Issue 10
Reader Question: Cerumen Removal May Not Be Billable
Question: The ED physician saw an 18-year-old female patient with complaints of ear pressure and reduced hearing on both sides, and feared she had burst her eardrums. Upon examination, the ED physician noted that the patient did not have any other signs and symptoms and had no signs of infection in the ears or tympanic membrane perforation, but documented the presence of cerumen, which he cleared by irrigation. Which code applies?
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Answer: In this case scenario, you will have to report only the appropriate emergency department E/M code for the visit.
If your doctor removed impacted...
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