Can this be billed under the doctor if a medical assistant is doing the procedure? Our MA's do a lot of the ear lavages. We stopped billing 69210 for them since it had to be done with "instruments". We would just bill a 99211 for them. Thanks
Look under rationale second paragraph. It states performed or supervised by physician or qualified non physician practitioner. The physician or NPP must be on site. Then in the clinical example it states the physician gives the order fir the nurse to irrigate the ear.