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https://www.aapc.com/blog/28075-difficult-code-69210/
Sep 01, 2014 · In contrast to CPT® instructions, the Centers for Medicare & Medicaid Services (CMS) allows only one unit of 69210 to be billed when furnished bilaterally. In other words: Medicare won’t pay anything extra if you report cerumen removal bilaterally. Check with your individual payers to determine their policies. Documentation Requirements for ...Author: Renee Dustman
https://blog.supercoder.com/cpt-codes-2/listen-up-for-these-tips-for-reporting-cerumen-disimpaction/
Mar 23, 2016 · Paramount Healthcare, a payer in Ohio, explained that documentation should clearly support that a significant amount of the clinician’s time and effort were required, including a procedure note supporting the time, the interventions, and how well (or not) that the patient tolerated the procedure. ... CPT® codes 69209 and 69210 ...
https://www.aapc.com/discuss/threads/ear-lavage-coding.337/
Jul 15, 2009 · The 69210 should only be used when, 1. the patient has a cerumen impaction (380.4) and 2. the removal requires physician work using at least an otoscope and instrumentation, rather than simple lavage. Instrumentation can be wax curettes, forceps and suction. Documentation: you should have a separate entry from the physician to support the ...
https://www.supercoder.com/coding-newsletters/my-otolaryngology-coding-alert/reader-questions-check-for-impacted-before-billing-69210-article
Aug 21, 2008 · Most payers restrict 69210 pay to 380.4. If the documentation does not support that definition, you should not use 69210. Removing wax that is not impacted does not warrant the reporting of 69210, according to the July 2005 CPT Assistant, published by the AMA in collaboration with the American Academy of Otolaryngology (AAO-HNS).
https://www.supercoder.com/coding-newsletters/my-otolaryngology-coding-alert/guidelines-bank-on-this-definitive-coders-guide-to-cerumen-removal-160108-article
As you can see, the appropriate documentation is vital when it comes to diagnosing impacted cerumen. In order to report code 69210 (Removal impacted cerumen requiring instrumentation, unilateral), the provider must be just as in tune with this set of criteria as the coder. That means that the provider should make sure to properly document ...
https://www.findacode.com/articles/auditing-for-cerumen-removal-codes-69209-69210-31714.html
by Scott Kraft February 26th, 2016. 2016 brings changes to how physician practices bill for the removal of impacted cerumen, including a new CPT code. The rules that apply to the two cerumen removal codes now available for use mean that auditors will need to scrutinize the documentation closely in order to ensure codes are being used correctly.
http://static.aapc.com/a3c7c3fe-6fa1-4d67-8534-a3c9c8315fa0/1ed43b97-1be4-4129-b20d-001d3f82fb18/5df06566-f491-4237-80ee-947f0b23a801.pdf
–Simply removing wax is not 69210 •Instead use appropriate level evaluation and management (E/M) code regardless of how it is removed –Only the provider can bill 69210 for removal if truly impacted •Using at minimum an otoscope and instruments such as wax curettes and suction plus specific ear instruments (eg, cup forceps, right angles)
https://www.jucm.com/impacted-cerumen/
Jun 02, 2016 · Documentation in the patient record shows that the procedure required significant time and effort. CPT code 69210 will be reimbursed at around U.S.$50, and CPT code 69209 will be reimbursed at around U.S.$12, depending on the payor and your Medicare Administrative Contractor When billing CPT codes 69209 and 69210, ...
https://www.bluecrossnc.com/sites/default/files/document/attachment/services/public/pdfs/medicalpolicy/removal_of_impacted_cerumen.pdf
to be included in the reimbursement for 69210 and G0268 and should not be billed separately. Cerumen removal is not covered when billed with audiologic function tests. Policy Guidelines Documentation Requirements: When this service is reported in addition to an E&M service, the medical record must clearly reflect the
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