Otolaryngology Coding Alert

New Tympanometry Codes Include Wax Removal; Septoplasty and Ablation Can Stand Alone

For compliance, recognize 69210 as inclusive to audiological codes. Coding updates in 2010 will make you frown and smile. While two new audiology testing codes are not yet bundled with cerumen removal, common sense states that you should not report them together when an audiologist performs the removal. The septoplasty and ablation bundle, however, still allows payment when the ENT performs the procedures for different clinical reasons. Recognize Wax Removal as Still Integral to Testing and Therapy With the introduction of two new audiological testing CPT codes, be sure to realize that cerumen removal is still considered inclusive in audiological testing. Do not report 69210 (Removal impacted cerumen [separate procedure], 1 or both ears) when an audiologist performs the removal along with the following newly released CPT codes: 92550 -- Tympanometry and reflex threshold measurements 92570 -- Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay [...]
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