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Primary Care Coding Alert

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Know Incident-To Rules for Correct NPP Cerumen Removal Billing

Published on Thu Oct 15, 2020

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 [...]
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