tci E/M Coding Alert - 2016 Issue 10

You Be the Coder: E/M and Earwax Removal

Question: I have been researching new cerumen removal code 69209 (Removal impacted cerumen using irrigation/lavage, unilateral), and I was wondering: When, if ever, might we report a separate E/M with a cerumen removal code? Louisiana Subscriber  Answer: The answer depends on the insurer’s policy, as well as how thorough your documentation is, but an example where most payers would reimburse both cerumen removal and an E/M would be if the patient presents with vomiting, throat pain and a fever. The physician examines the patient, and during the examination he notes cerumen that is impacted in the ear. After...

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