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ear lavage

  1. Default ear lavage
    Medical Coding Books
    I would like to know what we would need for documentation for a dr flushing ears for
    an doctor or a nurse, to support a 99212 for the doctor and a 99211 for the nurse??
    I want to make sure we do this right, Thank you,

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default Same DOS?
    If both these visit occurred on the same day, you can only bill one E/M.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. Default ear lavage
    If the doctor only gave treatment for the impacted cerumen then use
    69210 Removal of impacted creumen this is for both ears

    If the doctor indicated in his notes that he gave treatment for other complaints in addition
    to the impacted creumen than use the correct visit code with a modifier 25

    example 99213 25 401.9 250.00
    69210 dx for impacted creumen

    hope this helps.


  4. #4
    Location
    St. Louis
    Posts
    34
    Default
    I was told we could only charge 69210 if an instrument was used to remove cerumen; that if irrigation was used them only E/M code??

  5. #5
    Location
    Columbia, MO
    Posts
    12,843
    Default
    Quote Originally Posted by JJ View Post
    I was told we could only charge 69210 if an instrument was used to remove cerumen; that if irrigation was used them only E/M code??
    This is correct.

    Debra A. Mitchell, MSPH, CPC-H

  6. #6
    Location
    St. Louis
    Posts
    34
    Default
    Thank you for the clarification.

  7. #7
    Location
    Naples Florida
    Posts
    140
    Question
    Quote Originally Posted by mitchellde View Post
    This is correct.
    So if it is a water pik? would this classify as a instrument or not? I just want to make sure as we have a similar situation.

  8. #8
    Default
    water pik is not instrumentation.

    A minimum of otoscope usage with instruments (curettes, cup forceps, etc)
    Melissa Tescher, CPC, CPMA, CEMC Compliance and Coding Specialist
    Willamette Valley Professional Services member National Advisory Board 2013-2015

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