Wiki New CPT code 69209

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C
Denial for Bilateral 69209

There’s a good article on SuperCoder.com (http://blog.supercoder.com/cpt-codes-2/listen-up-for-these-tips-for-reporting-cerumen-disimpaction/) that should help you.
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I'm looking for where i can find documentation on new CPT code 69209 and if this new code has the requirement of being done by a provider? I know that cpt code 69210 although not included in the actual description of the code, in order to bill for this service, it must be provided by doctor or other health care professional and was curious if this is true for new code 69209 as well and where i can find this documentation.

Thanks in advance
 

mitchellde

True Blue
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The usage of this code is explained in the CPT changes book which you will need to purchase to be able to see it. In the explanation it tells you that this procedure may be performed or supervised by the physician.
 

caramella025

Contributor
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This was in the December edition of Healthcare Business Monthly:

Earwax Removal by
Lavage Now a Distinct Service
Impacted cerumen (ear wax) can cause symptoms including pain, dizziness, and loss of hearing.
In years past, removal of impacted cerumen not requiring instrumentation has been reported
using an appropriate evaluation and management (E/M) code. The American Medical Association
(AMA) added a parenthetical note to CPT® 2014 instructing, “For cerumen removal that is
not impacted [see above] or does not require instrumentation, eg, by irrigation only, see E/M
service code, which may include new or established patient office or other outpatient services
….” The AMA also revised the CPT® descriptor for 69210 to specify “requiring instrumentation.”
For 2016, the rules have changed. You may still report 69210 Removal impacted cerumen requiring
instrumentation, unilateral for removal of cerumen requiring instrumentation; however,
removal by lavage now has its own code, 69209 Removal impacted cerumen using irrigation/
lavage, unilateral, and no longer is reported as an E/M service. CPT® 2016 now instructs, “for
cerumen removal that is not impacted, see E/M service code….”
Note that both 69209 and 69210 are unilateral procedures; for removal of impacted cerumen
from both ears, append modifier 50 Bilateral procedure to the appropriate code.




I'm looking for where i can find documentation on new CPT code 69209 and if this new code has the requirement of being done by a provider? I know that cpt code 69210 although not included in the actual description of the code, in order to bill for this service, it must be provided by doctor or other health care professional and was curious if this is true for new code 69209 as well and where i can find this documentation.

Thanks in advance
 
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denial for bilateral 69209

We have billed this code as instructed in the CPT manual, is there additional instructions for Cahaba? we used 69209 with modifier 50 1 unit, same with 2 units and seperate lines? Any input? Should we try it using RT on one line and LT on the second line? I am at a loss, I tried calling them and just when someone was picking up, I was disconnected.
 
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