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Thread: Cerumen removal

  1. #1
    Join Date
    Apr 2007

    Question Cerumen removal

    AAPC: Back to School
    My Dr.s go into Nursing Homes to do cerumen removal. If the Dr. starts the procedure and the patient will not sit for the procedure so the Dr has to stop, can I bill 69210 with a 53 mod or a 52? (99% of the time primary ins is Medicare) I use to not bill 69210 jut an E/M, but the Dr's were told they could. (you know how Dr.'s know all about coding. lol). I cannot find anything on the net regarding this. Please help. Thank you.

  2. #2


    You can bill the 69210 with a mod -52..."under certain circumstances a service or procedure is partially reduced or eliminated at the physicians discretion". Just make sure there is appropriate documentation supporting as to why the service was eliminated.

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