Wiki Irrigation code 69210

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Savannah, GA
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When a patient comes in with hearing loss and is found to have no infection but just cerumen impaction, can the ED MD irrigate the wax and charge 69210 without using instrumentation?
 
69210

69210 Description states that requiring instrumentation [Cerumen spoon or delicate forceps] to remove the wax in the ear. If the irrigation is only performed, it will be included in E/M Services.

Thanks,
Raghupathy Dharmaraj, CPC,CPC-H,CEDC
 
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