tci E/M Coding Alert - 2016 Issue 9

You Be the Coder: Reporting Ear Wick Insertion

Question: Our general practitioner (GP) recently saw a patient with an infection of the left inner ear. Notes indicate that he inserted an antibiotic-soaked ear wick to treat the infection. Is there a code for ear wick insertion? New York Subscriber Answer: You do not have any specific code for the ear wick insertion that your clinician performed for the patient. Report the appropriate-level E/M code for the encounter. Benefit:You’ll roll the ear wick insertion work into the rest of the E/M service before deciding on a code. Let’s suppose documentation reflects a level-three established patient E/M...

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