Clear the Way for Accurate Cerumen Removal Coding - AAPC In order to report 69209 or 69210, you’ll need a diagnosis of impacted cerumen, as the CPT ® descriptor indicates The ICD-10 codes that you’d report for impacted cerumen are: H61 20 (Impacted cerumen, unspecified ear) H61 21 (Impacted cerumen, right ear) H61 22 (Impacted cerumen, left ear) H61 23 (Impacted cerumen, bilateral)
Cerumen Removal Coding Depends on Impaction - AAPC Cerumen is associated with foul odor, infection, or dermatitis; or Obstructive, copious cerumen cannot be removed without magnification and multiple instrumentations requiring physician skills The AMA’s CPT® Changes 2016: An Insider’s View confirms, “Impacted cerumen is typically extremely hard and dry and accompanied by pain and itching
Cerumen diagnosis code | Medical Billing and Coding Forum - AAPC Here is an AAPC article on removing cerumen (click me) Impaction includes at least one of the following: 1 Cerumen impairs the exam of clinically significant portions of the external auditory canal, tympanic member, or middle ear condition; 2 Extremely hard, dry, irritative cerumen causes symptoms such as pain, itching, hearing loss, etc ; 3
Cerumen Removal Coding Depends on Impaction, Method The method for extracting the impacted cerumen determines whether you should bill either CPT® code 69209 or 69210 Reporting 69210 Report 69210 Removal impacted cerumen requiring instrumentation, unilateral if the physician or other qualified healthcare professional uses instrumentation to remove impacted cerumen from the patient’s ear(s
Bank on This Definitive Coders Guide to Cerumen Removal - AAPC Cerumen impairs the examination of clinically significant portions of the external auditory canal, tympanic membrane, or middle ear condition; Extremely hard, dry, irritative cerumen causes symptoms such as pain, itching, hearing loss, etc ; Cerumen is associated with foul odor, infection, or dermatitis; or
Set the Tone for ENT Procedure Claims - AAPC Knowledge Center Cerumen impaction ICD-10-CM codes are H61 21 for right ear, H61 22 for left ear, and H61 23 for bilateral ears If cerumen impaction removal is done on the same day as an audiology visit, most payers will instruct you to code HCPCS Level II code G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as
Turn to H61 Series for Impacted Cerumen Coding Under ICD-10 - AAPC ICD-9-CM: ICD-9-CM provides a single diagnosis code for impacted cerumen: 380 4 (Impacted cerumen) The ICD-9 manual also directs you to report an additional external cause code, if applicable, to identify the cause of the ear condition ICD-10-CM: Look to the H61 2- (Impacted cerumen) series of codes The fourth digit will specify the affected
Review Which Details Enable Correct Cerumen Removal Reporting - AAPC If a cerumen impaction is removed bilaterally and billed to Medicare Part B as 69210-50 [Bilateral procedure], Medicare Part B will not pay the claim and consider the claim improperly coded Medicare Part B expects this service to be coded 69210 with no modifier whether the impacted cerumen is removed from one ear or from both ears
Cerumen Removal Coding - AAPC Knowledge Center For removal using instrumentation (e g , forceps, curette, etc ), turn instead to 69210 Removal impacted cerumen requiring instrumentation, unilateral Note that both 69209 and 69210 are unilateral procedures; for removal of impacted wax from both ears, append modifier 50 Bilateral procedure to the appropriate code
Answer These 4 Questions, Enhance Your Cerumen Removal Coding . . . - AAPC H61 20 — Impacted cerumen, unspecified ear; H61 21 — Impacted cerumen, right ear; H61 22 — Impacted cerumen, left ear; H61 23 — Impacted cerumen, bilateral However, the presence of cerumen in a patient’s ear may be the result of an underlying problem, for which you could use diagnoses such as H65 - (Nonsuppurative otitis media), H66 -