AAPC - Back to school
Results 1 to 3 of 3

Thread: cpc

  1. #1
    Join Date
    Apr 2007

    Default cpc

    AAPC: Back to School
    Can anybody help me with cpt code 69210. Can I bill a 99392
    -25 and 69210 and get paid for it. HELP
    Last edited by andrews24; 12-10-2010 at 08:55 AM. Reason: wrong cpt code

  2. #2
    Join Date
    Apr 2007
    Lubbock, TX


    More than likely, as long as the records show a distinct difference in the E/M services and the earwax removal. As long as removing the cerumen is not a vital step in evaluating or treating the patient (like it would be if they came in complaining of ear pain, for example), and the E/M elements are clearly documented, it's a separately billable service. (Check with your local Medicare/Medicaid providers, though, for specifics on their coverage criteria. My background is commercial insurance.

    It is a procedure that's treated like a surgery for modifier purposes (much like 96372 is). If documentation supports billing both, the E/M will require a 25 modifier to process. Otherwise, it will deny as incidental to 69210. Hope that helps!

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default Please NOTE

    Please note - IRRIGATION does NOT equal CPT 69210. Documentation for 69210 MUST include a physician diagnosis of impacted cerumen, and must include procedure description that involves the use of instruments to remove the impacted cerumen.

    There must be at least a dozen posts on this forum on this topic. You might want to research and read them.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Hiring ASC surgical coders (Full Time Only) CPC and CPC-A
    By jaimewicklund in forum Employment General Discussion
    Replies: 4
    Last Post: 12-02-2015, 07:00 PM
  2. cpc-cpc-h cpc-p looking for full time job
    By eeccleston in forum Employment General Discussion
    Replies: 0
    Last Post: 04-27-2012, 06:50 AM
  3. Resume Coding Auditor, CPC, CPC-H, CCS-P, CEDC, CANPC
    By Sharee Luckeydoo in forum Resume Postings
    Replies: 1
    Last Post: 08-30-2011, 12:26 PM
  4. CPC, CPC-H, CPC-P seeking remote position
    By jana.gatton in forum Resume Postings
    Replies: 0
    Last Post: 10-17-2009, 10:29 AM
  5. Replies: 2
    Last Post: 06-09-2008, 08:24 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.