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ED E/M or 69210

  1. #1
    Default ED E/M or 69210
    Medical Coding Books
    Looking for opinions on this documentation - ED E/M or 69210
    Docusate Sodium Order: Docusate Sodium - Dose: 4 drops : Ear-Right
    Was used to soften the impacted cerumen

    ARNP note:
    Performed by physician extender, Indicated for cerumen impaction, External canal irrigated with tap water, Irrigation performed using angiocath, Cerumen removed. Bleeding was noted, Abrasion was not noted, After procedure hearing is normal. No complications. Patient tolerated procedure well.

    Thanks for your opinions!
    Last edited by alisonbee; 02-16-2010 at 05:27 PM.

  2. Default
    You cannot code for the removal because it was done by irrigation.

  3. #3
    Location
    Evansville Indiana
    Posts
    451
    Default 69210
    I agree. There must be documentation of instrumentation besides irrigation, such as a curette to bill a 69210.

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