Wiki 69210 and audologic function testing

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april_jourdan@yahoo.com

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Our encoder shows that it is OK to bill cerumen impaction removal (69210) and an comprehensive audiometry threshold evaluation and speech recognition (92557) and tympanometry (92567) on the same DOS. However, an insurance company (BCBS) has performed an audit and is taking the money back for the 69210 stating it is bundled. I cannot find any concrete information to show that the 69210 is actually bundled with the testing. (except for one sentence on audiology.org: http://www.audiology.org/practice_management/coding/national-correct-coding-initiative-cci-edits-audiology-procedures[/URL]) Can someone point me in the right direction?

Thanks,

April
 
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