Question Cerumen impaction and hearing loss

momo2

Networker
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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?
 

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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