tci Part B Insider - 2012 Issue 5

Reader Question: 69210: Know the Definition of 'Impacted'

Question: When we report 69210 (Removal impacted cerumen [separate procedure], 1 or both ears) with an office visit, we typically append modifier 25 to the E/M service but the cerumen removal is being denied. Should we instead be putting the modifier on 69210?Answer: It sounds like you coded correctly if your physician documented properly, but you must first check the record to ensure that you were justified in billing both services together.Your first step is to determine how the physician removed the cerumen, and if it was indeed impacted. If the doctor merely performed an ear wash...

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.