tci Part B Insider - 2014 Issue 23

Physician Notes: Check This Progress on Billing 69210 With E/M Codes

Plus: Burwell confirmed as new HHS secretary. If you’ve been frustrated by halted reimbursement for 69210 (Removal impacted cerumen requiring instrumentation, unilateral) with an E/M service, you’ll be glad to finally receive some good news on that front.  The scoop: Cigna has changed its policy regarding claims that include 69210 with an office-based E/M code (99211-99215). Any claim with these codes and modifier 25 (Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service) will be reprocessed by the...

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