tci ED Coding & Reimbursement Alert - 2011 Issue 10

Reader Question: Listen Carefully For How To Report Ear Blockage Removal

Question: Is irrigation of the ear canal included in the E/M or a separately billable procedure? Louisiana SubscriberAnswer: If only irrigation is performed, then it would be included in the E/M service. Use of code 69210 (Removal impacted cerumen [separate procedure], 1 or both ears), requires that the cerumen be impacted and removed using an otoscope and instruments such as wax curettes or suction. In the July 2005 CPT® Assistant, the AAO-HNS approved definition is offered stating that if any one or more of the following are present, cerumen should be considered to be impacted:Visual considerations: Cerumen impairs exam...

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