CPT assistant says for foreign body:
CPT Lay Descriptions
69200-69205 (69200, 69205)
Under direct visualization, the physician or technician removes a foreign body from the external auditory canal using delicate forceps, a cerumen spoon, or suction. In the case of a live insect, oil is dropped into the ear to immobilize it before it is removed. No anesthetic or local anesthetic is used in 69200. If a child or an adult cannot tolerate the procedure while awake, it is performed under general anesthesia in 69205. Code 69205 is also reported in cases where the foreign body is so large, an incision is made in the external meatus to enlarge the opening before the foreign body can be extracted.
My opinion is that since you would use the same type instruments to remove the foreign body as you do the cerumen and since cerumen is considered "separate procedure" you would only report the 69200. This is in the NCCI edit list with a 1, but my thinking is that if you do one ear for foreign body and the same ear for impaction cerumen removal, then it's considered inclusive so 69200. If you do both ears cerumen impaction removal (69210)and one ear foreign body removal (69200), then you could justify both codes with a 59 modifier on the 69210. I also ran this through our 3M and it flags you and says 69200 is considered a comprehensive code.
- ICD-10 Training
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join