If an office note mentions: Cerumen impaction and ear lavage, and also: otalgia, otitis media, otitis externa, dizziness, vertigo, hearing loss, conditions of tympanic membrane or auditory ossicles and these are being evaluated along with vitals being assessed and a general statement from MD about patient’s appearance and gait, does this qualify as an office visit 99213, 99212 or ear lavage only?
In other words, may we bill a 99213 and 69209 for this visit based on above dx such as otalgia, otitis media, dizziness etc?
thanks