tci ED Coding & Reimbursement Alert - 2008 Issue 12

Reader Questions: Payers Typically Accept NPP Performing 69210

Question: A patient reports to the ED complaining of pain, with wax buildup in her left ear. One of our nonphysician practitioners (NPPs) removed the wax using lavage, some solvents, and ultimately curettage. Can we report 69210 for this encounter? Or is 69210 for physicians only? Indiana Subscriber Answer: There are two questions here, so we'll address them one at a time: Can we report 69210? You can report 69210 (Removal impacted cerumen [separate procedure], one or both ears) for this visit based on the scenario above. Keep in mind, however, for Medicare you would report this service under...

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