A patient complaining of ear pain visits your physician, who then orders an ear irrigation. Can you legitimately report 69210 (Removal impacted cerumen [separate procedure], 1 or both ears) for the care? Before you decide on the code, ask yourself these three questions to keep your claims in the clear.
Question 1: Was Simple Irrigation Carried Out?
Sometimes a provider can clear the patient’s ear with basic irrigation, but sometimes he needs to use more extensive measures. Before choosing 69210, verify the level of service provided.
|Family Practice Coding Alert Your practical adviser for ethically optimizing coding, reimbursement, and efficiency for Family practices. Click here to buy the monthly Family Practice Coding Alert.|
“You cannot bill 69210 if the provider only does irrigation,” says Randa Cain, CPC,...
- Free updates on CPT, ICD-9, HCPCS, Medicare, NCCI edits, and ICD-10.
- Discounts on 3rd party offers