Cerumen impaction and hearing loss

[momo2]

Hello, my provider performed an ear lavage due to b/l cerumen impaction H61.23. Provider also coded Unspecified hearing loss, H91.90. Problem is that there is an excludes note 1 under H91.90 that states H61.2- (cerumen impaction) cannot be coded together. So would it be correct to just code H61.23 for the b/l cerumen impaction?

 

[ENTcoderConnecticut]

for example with 69210: typically the insurance pays when those 2 Dx H61.2x and H91.90 "A" and "B" are listed on the claim, but you just don't put "B" on the liner with 69210 etc.

 

[b.cobuzzi]

ENTcoderConnecticut, an Ear Lavage cannot be coded 69210 as suggested by you. Your suggestion to delink the diagnoses is excellent, but the ear lavage is coded 69209.