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99214 and 69210

  1. #1
    Exclamation 99214 and 69210
    Medical Coding Books
    Can you tell me if it is appropriate to bill a 99214 and 69210 when the patient presents to the office with impacted cerumen? The doc did a complete history, and exam. The cerumen impaction is noted as resolved.

  2. #2
    Location
    Columbia, MO
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    Is there a procedure note for the 69210?

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Default
    Actually regarding the 69210, the only thing that is stated is bilateral ear lavage completed.

  4. #4
    Location
    Columbia, MO
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    69210 is not a code for an ear lavage, it is a procedure performed by the physician which necessitates the use of a scoop or a currette. So in this case it is an ov only.

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
    Default
    According to the Emergency Medicine Coding Companion, if ther is no infection present, the ear canal may then be irrigated.

  6. #6
    Location
    Milwaukee WI
    Posts
    4,466
    Default Ear irrigation is NOT removal of impactged cerumen
    There are several threads on this forum regarding this topic.

    NO, you may NOT code 69210 for ear irrigation.

    All you have is an office visit.

    F Tessa Bartels, CPC, CEMC

  7. #7
    Default
    According to what I am reading here in the coding companion, I don't understand why I do not have 69210 when it specifically states "If no infection is present, the ear canal may then be irrigated." Please help me understand why I can not bill that.

  8. #8
    Location
    Columbia, MO
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    I am not sure what context that passage is written in, but an ear irrigation is simply part of the visit level, irrigation uses a water jet, the 69210 as stated earlier uses a scoop or a currette and must have a procedure note by the physician.

    Debra A. Mitchell, MSPH, CPC-H

  9. #9
    Default
    If you would like, I can forward a copy of the page from the coding companion, and you could take a look at what I am reading.

  10. #10
    Location
    Columbia, MO
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    that would be great, my e-mail is debraawm@yahoo.com. I am leaving here in a few but will look at it as soon as I can. Thanks!

    Debra A. Mitchell, MSPH, CPC-H

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