Primary Care Coding Alert

Earwax-E/M Encounter Equals $47 More Per Removal Claim

Check for tools, impacted' cerumen for 69210 evidence. When a patient reports to the family physician (FP) for removal of cerumen (earwax), you'll have to know what payers consider a procedure. There's also a chance the FP will perform cerumen removal in addition to the E/M service, which could mean extra reimbursement for your claim. Discover the ins and outs of cerumen removal coding with these expert tips: Decide If FP Removes 'Impacted' Cerumen The scenario sounds like a slam dunk: Patient reports to the FP with earwax, the physician removes it, and coder chooses cerumen removal code ... right? Not so fast: Some earwax extraction encounters will not reach the 69210 (Removal impacted cerumen [separate procedure], 1 or both ears) level. In order to report a cerumen removal code, the physician has to use direct visualization (via otoscope) and instruments to remove impacted cerumen, says Sandra Pinckney, CPC, coder [...]
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