Wiki Coding for 69210

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Our physician has done an ear irrigation himself but did not dictate the use of instruments. Would we still be able to bill for the 69210 in conjunction with the E/M code? We know that if the nurse performs this procedure it is not billible. I appreciate any information you can share with any links to how you found your answers.
 
69210

No you cannot charge the 69210 without the use of instruments.
I don't have the link handy but here is a quote from AAO-NHS and Cpt Assistant
"If, however, the wax is truly impacted, then its removal should be reported with 69210 if performed by a physician using at a minimum an otoscope and instruments such as wax curettes, or in the case of many otolaryngologists, with an operating microscope and suction plus specific ear instruments."

LeeAnn
 
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