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Thread: Removal impacted cerumen

  1. #1

    Default Removal impacted cerumen

    AAPC: Back to School
    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

  2. #2
    Join Date
    Apr 2007
    San Diego



    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!
    Sylvia Thompson, CPC
    Billing Supervisor
    San Diego, CA

  3. #3
    Join Date
    Apr 2007
    Greeley, Colorado


    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.

  4. #4
    Join Date
    Apr 2007
    New Port Richey & Gulf to Bay

    Smile Binocular microscopy

    It can also be reported when removal is done under binocular microscopy.

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