Cerumen Removal and Office Visit

gcohen

Guru
Messages
145
Location
Upland
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0
When bundling or incidental with payers, are you billing both procedures or just the one with higher reimbursement?

Thanks for the input.
 

vinessachilders

Contributor
Messages
18
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0
If the office visit was for a completely separate reason than the patient's ears, you can bill both cerumen removal and the office visit with a modifier 25. If the patient's chief complaint was dealing with their ears, you can remove the cerumen removal CPT or zero out the charge (if your EMR will allow $0 charges) as the office visit covers the cerumen removal and exam of other systems, etc..
 
Messages
4
Location
Clinton, IN
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0
Can I just piggy back on this? What if it is a well check and they do the cerumen removal? Is it included or can it be billed separately?
 
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