tci Part B Insider - 2014 Issue 5

Part B Payment: Bilateral Cerumen Removals Could Prompt Denials

Medicare decides not to pay for two cerumen removals in the same visit. When  CPT® clarified the language in  CPT® 2014 regarding cerumen removal, it seemed like good news. But thanks to a CMS rule, that news could be turning sour. Background:  CPT® 2014 changed the descriptor for 69210 to “Removal of impacted cerumen requiring instrumentation, unilateral.” Therefore, most practices understood that they’d need to append a bilateral modifier (modifier 50) to 69210 when removing cerumen from both ears. Why? Although the descriptor for this code used to say “one or both ears,&rdquo...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.