Part B Payment: Bilateral Cerumen Removals Could Prompt Denials

Article Overview

This article explains a Medicare Part B payment issue involving cerumen removal coding after CPT language was revised and CMS issued a contrary billing policy in the Medicare Physician Fee Schedule final rule. It is relevant to otolaryngology and billing staff who follow CPT and Medicare guidance, especially when reviewing how bilateral services are handled under Part B. The article focuses on the policy conflict, the organizations involved, and the resulting uncertainty for claim submission and reimbursement practices.