Wiki ED E/M or 69210

[alisonbee]

Looking for opinions on this documentation - ED E/M or 69210
Docusate Sodium Order: Docusate Sodium - Dose: 4 drops : Ear-Right
Was used to soften the impacted cerumen

ARNP note:
Performed by physician extender, Indicated for cerumen impaction, External canal irrigated with tap water, Irrigation performed using angiocath, Cerumen removed. Bleeding was noted, Abrasion was not noted, After procedure hearing is normal. No complications. Patient tolerated procedure well.

Thanks for your opinions!

 

[eadun2000]

You cannot code for the removal because it was done by irrigation.

 

[cheermom68]

69210

I agree. There must be documentation of instrumentation besides irrigation, such as a curette to bill a 69210.