In a previous company that I worked for we were told that Medicare would not pay for the cerumen impaction removal with an EM visit if this were the only issue being addressed. I was told by sing the 69210 along with a visit EM with modifier 25 Medicare could in an audit retract that payment. Am I correct in being told this or does anyone know of any place there is documentation or guidelines for the payment of the ear irrigation along with a visit EM? You can email any answers to firstname.lastname@example.org as I don't get to check the forum discussions much during the day. Thanks in advance!