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Pediatric Coding Alert

Pediatric Payment:

Bilateral Cerumen Removals Could Prompt Denials

Published on Thu Feb 13, 2014

Private payers may follow Medicare’s lead, which could hurt your bottom line. When CPT® clarified the language in CPT® 2014 regarding cerumen removal, it seemed like good news. But thanks to a CMS rule, that news could be turning sour. Background: CPT® 2014 changed the descriptor for 69210 to “Removal of impacted cerumen requiring instrumentation, unilateral.” Therefore, most practices understood that [...]
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