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Wiki Ear Exam under general anesthesia

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oakgirl75

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Hello fellow coders- I am need of assistance on a ASC ENT procedure code:

The patient is autistic and unable to communicate so the dr brought her in to the ASC for a ear exam w/ microscope under general anesthesia, during the exam he did remove impacted cerumen and had a ABR done. For the ASC is there a cpt code for a ear exam under general anesthesia? I can not use the 62502 because he did not evaluate the nose or larynx.

Thanks
 
In the instance you describe, I would bill for the cerumen removal (69210) and the ABR (92585). I have billed the 92502 before with a 52 modifier in an instance where my doctor examined the ear but not the nose or larynx. Hope this helps!
 
I wonder if mod-23 would help support the claim. It's not "usual" to have to sedate a patient to do cerumen removal.

Just a thought.
 
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