tci ED Coding & Reimbursement Alert - 2008 Issue 5

Remember to Look for E/M Evidence on Cerumen Claims

If physician was involved, a separate E/M is possible When a patient reports to the ED for removal of impacted cerumen, be on the lookout for evidence of a separately codeable E/M service. In the ED setting, the physician nearly always provides a separate E/M for patients who require a 69210 (Removal impacted cerumen [separate procedure], one or both ears) service, says Sandra Pinckney, CPC, coder at Certified Emergency Medicine Specialists PC in Grand Rapids, Mich.Definition: According to article A44326, "Removal of Impacted Cerumen and Evaluation and Management Services" from-the Medicare Local Coverage Determination (LCD) for Alabama, Georgia...

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