tci ED Coding & Reimbursement Alert - 2004 Issue 7

6 Surefire Tips to Get Your Cerumen Removal Claims Paid

Why you'll get denied if you report 69210 more than once per episode With numerous CPT and Medicare guidelines, coding cerumen removals can trip up ED coding veterans and rookies alike. To prevent denials from clogging up your desk, follow these six coding tips.1. Assign 69210 only when the physician extracts impacted earwax. Typically, the physician uses mechanical means, such as debridement or manual disimpaction, to remove the cerumen. Remember to check your carrier's guidelines for which removal method justifies billing 69210 (Removal impacted cerumen [separate procedure], one or both ears). But when the physician can easily take...

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