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.
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“You cannot bill 69210 if the provider only does irrigation,” says Randa...
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