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Tag Archives: 69210

69210 VS 69209 when both are performed on the same day

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Can anyone help me with the following scenario?

Placed hydrogen peroxide drops in the left ear, letting it soak for app 5 min. Attempted removal of wax with lighted curette, with some success. Flushed ear with lukewarm water to remove the remainder. Confirmed removal of wax with otoscope.

Can the most extensive procedure (69210-REMOVAL OF CERUMEN WITH INSTRUMENTATION) be billed?

Medical Billing and Coding Forum

69210 vs. Ear Irrigation

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You may report 69210 Removal impacted cerumen requiring instrumentation, unilateral if instrumentation is used to remove impacted cerumen. Impacted cerumen typically is extremely hard and dry, usually is accompanied by pain and itching, and can lead to hearing loss. Code 69210 captures the direct method of impacted earwax removal using curettes, hooks, forceps, and suction. […]
AAPC Knowledge Center

69210 and audologic function testing

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Our encoder shows that it is OK to bill cerumen impaction removal (69210) and an comprehensive audiometry threshold evaluation and speech recognition (92557) and tympanometry (92567) on the same DOS. However, an insurance company (BCBS) has performed an audit and is taking the money back for the 69210 stating it is bundled. I cannot find any concrete information to show that the 69210 is actually bundled with the testing. (except for one sentence on audiology.org: http://www.audiology.org/practice_management/coding/national-correct-coding-initiative-cci-edits-audiology-procedures[/URL]) Can someone point me in the right direction?

Thanks,

April

Medical Billing and Coding | AAPC Forum