Hi all,
I'm new to coding outpatient surgical procedures done in a hospital setting.
1. A patient is having tubes removed under general anesthesia and there is cerumen removed from the same ear. How do I decide which code to use? 69210 OR 69421. I know I can't use both.
2. Does the OP note have to specifically say "impacted cerumen"? I see a lot of notes that say "A copious amount of cerumen was present, which was removed using an alligator forceps and suction through
visualization of the Zeiss microscope". With that verbage, can I use the impacted cerumen requiring instrumentation?
3. how do I know when to include excision of aural polyp when a polyp is removed at the same time as tubes and/or cerumen?
Thanks!!
I'm new to coding outpatient surgical procedures done in a hospital setting.
1. A patient is having tubes removed under general anesthesia and there is cerumen removed from the same ear. How do I decide which code to use? 69210 OR 69421. I know I can't use both.
2. Does the OP note have to specifically say "impacted cerumen"? I see a lot of notes that say "A copious amount of cerumen was present, which was removed using an alligator forceps and suction through
visualization of the Zeiss microscope". With that verbage, can I use the impacted cerumen requiring instrumentation?
3. how do I know when to include excision of aural polyp when a polyp is removed at the same time as tubes and/or cerumen?
Thanks!!