I'm guessing neither - I'm betting you should be charging and E/M level only (probably a very low level E/M) - Who actually performs the ear was removal? are they really removing impacted ear wax or just flushing the ear wax build up?
69210-"under direct visualization, the physician removes impacted cerumen (ear wax) using suction, a cerumen spoon, or delicate forceps. If no infection is present the ear canal may be irrigated. Some sort of "tool" is used.
Cerumen removal is "MORE" than simple ear irrigation (washing). The ear was must be "impacted" not just built up and washed out.
69200 -"under direct visualization, the physician or technician removes a foreign body from the external auditory canal using delicate forceps, a cerumen spoon or suction. In the case of a live insect, oil is dropped into the ear to immobilze it before it is removed. No anesthetic or local anesthetic is used. again, some sort of tool is used. Ear wax is not a foreign body.
however - if your facility is really removing impacted cerumen - using the correct tools, procedure done by the physician (not nurse or other) and documentation fully supports the procedure - then 69210 would be correct. And you're correct, the insurance company doesn't like to pay - but - if done correctly, appeal it.
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