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- Know CMS Bundling, Modifier Policies for 69210 : You Be the Coder - AAPC
First, you should not be submitting 69210 (Removal impacted cerumen requiring instrumentation, unilateral) with any modifier for Medicare Despite the unilateral code description, Medicare will deny your claim if you append modifiers LT (Left Side), RT (Right Side), or 50 (Bilateral Procedure)
- CPT Code 69210 Description, Scenarios Applicable Modifiers
Use laterality modifiers with CPT code 69210 to specify which ear you removed the impacted cerumen from This will help you avoid payment delays or, in extreme cases, denials
- Cerumen removal | Priority Health
Codes 69209 and 69210 can be reported as a bilateral service (identified with modifier 50) under all plans except Medicare Medicare only: Bill with one unit of service regardless of whether the service was for one or two ears Don't use modifier 50 or RT LT
- Bilateral Procedures Policy, Facility - Reimbursement Policy . . .
Bilateral procedures that are performed at the same session should be identified by adding modifier 50 to the appropriate CPT or HCPCS code The procedure should be billed on one line with modifier 50 and one unit with the full charge for both procedures
- Removal of Impacted Ear Wax: Claim Submission Information
This article provides instructions on the correct claim submission of CPT® code 69210 (removal of impacted ear wax) when the service is performed bilaterally
- How To Use CPT Code 69210 - Updated 2025 - Coding Ahead LLC
CPT code 69210 is used when a healthcare provider performs the removal of impacted cerumen from one ear using instrumentation This code should be applied when the provider has determined that the cerumen is indeed impacted and obstructing visualization of the external auditory canal
- CPT Code 69210 - Definitions, Usage, and Compliance
These modifiers ensure proper documentation and reimbursement while clarifying the specifics of the procedure performed Always check payer-specific guidelines, as some modifiers may require additional documentation for approval
- July 2025 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes . . .
Use of CDT-4 is limited to use in programs administered by Centers for Medicare Medicaid Services (CMS)
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