Wiki 69210 unsuccessful - Physician performed bilateral

[vldecker]

Physician performed bilateral, but was unable to remove cerumen impaction. Can I still bill the 69210 and if so is there a modifier required?

 

[britbrit852003]

I would add modifier 52

 

[FTessaBartels]

Modifier 53

Hard to tell without seeing the documentation, but ...

I would probably use modifier 53 for a procedure that was incomplete due to unforeseen circumstances.

Hope that helps.

F Tessa Bartels, CPC, CEMC