• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Removal impacted cerumen

Create Wiki
B

buzimom247

Guest
Messages
1
Best answers
0
PLEASE HELP- Not familiar with ENT coding. When billing MEDICARE for the removal of impacted cerumen (69210) can anyone advise on requirements?
I know it's a seperate billable procedure, but, we no longer have a ENT dr on site, only certified audiologists.

Can I bill? Thanks for any help.

Donna W
 
Hi,

Yes, you can bill for the cerumen removal - just be sure that if a "separately identifiable" e/m is done on the same dos, you use a modifier -25.

Also, make sure that the dx is for "impacted cerumen" - 380.4.

Also, this code is for either one or both ears - does not need a -50 modifier.

Hope this helps!
 
The way I understand it, the cerumen must be removed by the doctor utilizing a cerumen spoon or forceps. It cannot be a simple flush performed by ancillary staff.
 
You must log in or register to reply here.
Top