Wiki procedure/e/m

[kimb]

pt came in for right ear discomfort. Doctor removed impacted cerumen. His coding is as follows.

99213-25
69210

diag: 380.4

can you also charge the OV with modifier since there is not anything different he has seen the patient for. Most of our Doctors says that they should be able to bill for the OV since they are seeing the patient. That is not the understanding we got going through school. If they were seen for something different than the impacted cerumen then we could charge OV with modifier.

Help please so we can try and explain it to them if they are coding wrong.

 

[dmaec]

could you please post "how" the doc removed the cerumen. There are specifics to it - if it's a simple ear wash, it's not a cerumen removal procedure. It would be an E/M only. AND, I'd agree with you and your school also - if it's ONLY cerumen removal - (and it really is cerumen removal) then it will be the69210 only - no E/M. Our docs were confused for a while, they thought simple ear washing was cerumen removal.

 

[kimb]

Thank You So Much For Your Help. I Will Have To Find Out How The Cerumen Was Removed It Is Not Noted In The Pt's Chart. Again, Thank You So Much For Your Quick Response.