Wiki dx code for cerumen but not impacted cerumen

[hallansmom]

the extenders in my practice like to use the dx code of H61.23 for regular cerumen. Is there a dx code to use for regular cerumen that is not impacted???

 

[marissa21p]

If the doctor is removing it, it would be considered impacted, otherwise it would normally drain. Hope this helps. Sometimes we, coders, look way too far into the details.

Mp

 

[hallansmom]

thanks so much!!

 

[April1]

If the doctor is removing it, it would be considered impacted, otherwise it would normally drain. Hope this helps. Sometimes we, coders, look way too far into the details.

Mp

when the provider removes the impacted cerumen 69209, and documentation supports that the provider also address a chronic condition ( mentions htn ) the provider chooses a E&M should a modifier 25 be appended to that E&M ? or if a patient is being seen for diabetes and the provider orders a influenza, and its given by the by the nurse.. would a modifier 25 be appended to that E&M ? another example patient is in for pain management a Toradol is given by the nurse and there is also a E&M again add Mod 25 ??

 

[mitchellde]

If the doctor is removing it, it would be considered impacted, otherwise it would normally drain. Hope this helps. Sometimes we, coders, look way too far into the details.

Mp

I have to disagree, a coder can never use a procedure as a means of making a diagnosis. Providers remove cerumen that is not impacted all the time and as such it is not consider medically necessary and not billable. Some times they remove it so they can see better. If it is not documented as impacted you must assume it was not or query the provider for an addendum.

 

[marissa21p]

Debra, the way you explained it is correct. To @hallansmom, I would ask the MD to differentiate in his documentation and solve it once and for all!

 

[hallansmom]

thank you!!!