tci ED Coding & Reimbursement Alert - 2007 Issue 3

Add an E/M Service to Most 69210 Claims

Report cerumen removal with E/M if you can prove the services are separate Patients who require cerumen removal services in your ED present several coding challenges: You will first have to decide if the encounter satisfies the requirements for reporting 69210 (Removal impacted cerumen [separate procedure], one or both ears). If it doesn-t, you-ll have to choose the proper evaluation and management code for the service.But there are also instances in which the physician will remove impacted cerumen and perform a separate E/M. Coders who can identify these scenarios will help the practice by ethically reporting a pair...

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