tci Part B Insider - 2006 Issue 6

OTOLARYNGOLOGY: Reader Question--Clean Up Your Earwax Coding With These Cues

Question: A patient came into our office and noted earwax removal as her chief compliant. Document-ation describes the wax as impacted because it completely covers the eardrum and causes the patient hearing loss. Her primary-care physician removed the impacted cerumen with magnification provided by otoscope and instruments such as wax curettes, forceps and suction. Which code should I report?Arizona SubscriberAnswer:  Report CPT 69210 (Removal impacted cerumen [separate procedure], one or both ears) for removal of only impacted cerumen (380.4, Impacted cerumen), instructs the July 2005 CPT Assistant. Training tip: To help your staff determine whether a case...

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