OCD_coder
True Blue
Just sharing new information that all may not be aware of. Medicare will only pay for one unit of the 69210, ever.
Here?s what Medicare had to say in the Federal Register:
?We disagree with the assumption by the AMA RUC that the procedure will be
furnished in both ears only 10 percent of the time as the physiologic processes
that create cerumen impaction likely would affect both ears. Given this, we will
continue to allow only one unit of CPT 69210 to be billed when furnished
bilaterally. We do not believe the AMA RUC?s recommended value reflects this
and therefore, we will maintain the CY 2013 work value of 0.61 for CPT code
69210 when the service is furnished.?
Here?s what Medicare had to say in the Federal Register:
?We disagree with the assumption by the AMA RUC that the procedure will be
furnished in both ears only 10 percent of the time as the physiologic processes
that create cerumen impaction likely would affect both ears. Given this, we will
continue to allow only one unit of CPT 69210 to be billed when furnished
bilaterally. We do not believe the AMA RUC?s recommended value reflects this
and therefore, we will maintain the CY 2013 work value of 0.61 for CPT code
69210 when the service is furnished.?