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69210 Removal Impacted Cerumen (partial)

  1. Default 69210 Removal Impacted Cerumen (partial)
    Medical Coding Books
    What would be the correct coding for the following?

    Scenario: Patient presents for removal of impacted cerumen. Impaction is confirmed on exam. Wax removal was attempted but unable to be fully completed to to patients discomfort.

  2. Default Cerumen removal
    I would bill the procedure with a modifier -52 as long as you have documentation that the physician did attempt removal

  3. Default
    Thank you that makes sense.

  4. #4
    I would use modifier -53 if the intent was to complete the 69210 (the provider did not plan to perform a reduced procedure) and the procedure was discontinued due to threatening the well-being of the patient (pain).

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