tci Medicare Compliance & Reimbursement - 2008 Issue 4

Reimbursement: Forget G Code For Cerumen Removal And Forget Payment

One practice challenged Medicare and won for its G0268 claims If you've got one New Year's resolution this year for your practice, perhaps it should be to stop waiting and to start filing appeals for the services that you know payers incorrectly denied. One practice says that billing audiology evaluations with cerumen removal is more than meets the eye, and that it was able to collect for the procedure by investigating the right codes and filing appeals. Although CPT lists 69210 (Removal impacted cerumen) as the correct cerumen removal code, you have to look further if you're billing Medicare...

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