Question Cerumen impaction and hearing loss

momo2

Networker
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Upland
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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?
 
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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

Networker
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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.
 
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