tci ED Coding & Reimbursement Alert - 2007 Issue 3

Think All Cerumen Removal Claims Are Equal? Think Again

E/M code is the better option when cerumen isn't impacted If an ED physician removes cerumen from a patient's ear, coders should not just choose the impacted cerumen removal code without identifying all of the specifics of the encounter.Why? In order to properly report 69210 (Removal impacted cerumen [separate procedure], one or both ears), you have to prove that the cerumen required instrumentation and physician involvement. For treatments that do not meet 69210 criteria, you-ll have to choose another coding strategy. Check out this advice on when to pick 69210 -- and when another code choice is a...

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