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Otolaryngology Coding Alert

Reader Questions:

Check These Billing Guidelines for NP Cerumen Removals

Published on Wed Jan 13, 2021

Question: Can impacted cerumen removal by lavage be performed by a nurse? Pennsylvania Subscriber Answer: Yes. If this is a Medicare patient, the procedure can be billed incident-to, and here’s why and how. The Medicare Physician Fee Schedule (MPFS) assigns a Professional/Technical Component (P/T) indicator of 5 to 69209 (Removal impacted cerumen using irrigation/lavage, unilateral). Per Medicare guidelines, this indicator [...]
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