tci ED Coding & Reimbursement Alert - 2014 Issue 3

Review These Tips Before Coding For Cerumen Removal

Assign 69210 only when the physician extracts impacted earwax. Additionally, the new code language requires the use of instruments to remove the cerumen. Ideally the chart should specifically mention using an instrument such as forceps, suction or a right-angle hook. Remember to check your carrier’s guidelines for which removal method justifies billing 69210 (Removal of impacted cerumen requiring instrumentation, unilateral). But when the physician can easily take out the wax as part of the routine ear exam, then this small level of effort might best be rolled into the E/M code. Report 69210 once per session, even if...

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