What is the ICD 10 code for ear wax?

Impacted cerumen, unspecified ear

H61. 20 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

How do you code ear wax removal?

Removal of impacted cerumen is represented by the following two CPT codes:
  1. 69209 – Removal impacted cerumen using irrigation/lavage, unilateral.
  2. 69210 – Removal impacted cerumen requiring instrumentation, unilateral.

What is diagnosis code H61 23?

2022 ICD-10-CM Diagnosis Code H61. 23: Impacted cerumen, bilateral.

What is the difference between CPT 69209 and 69210?

A new CPT code, 69209, provides a specific billing code for removal of impacted cerumen using irrigation/lavage. Like CPT 69210, (removal of impacted cerumen requiring instrumentation, unilateral) 69209 requires that a physician or qualified healthcare professional make the decision to irrigate/lavage.

What does CPT code 69210 mean?

Removal impacted cerumen
69210, Removal impacted cerumen requiring instrumentation, unilateral.

Is ear wax removal considered surgery?

Generally, the simple/routine removal of cerumen (e.g., softening drops, use o f cotton swabs and/ or cerumen spoons) is considered a part of the office visit and therefore cannot be separately reimbursed on the same day as an Evaluation and Management (E&M) service.

Can 69210 and 69209 be billed together?

You may not bill CPT code 69209 with CPT code 69210, “removal impacted cerumen requiring instrumentation, unilateral,” for the same ear. However, CPT codes 69209 and 69210 can be billed for the same encounter if impacted cerumen is removed from one ear using instrumentation and from the other ear using lavage.

Can 69210 and 92567 be billed together?

e. 69210 is not to be used for billing of removal of non-impacted cerumen – use an appropriate E&M code instead. 3 g. 69210 is allowed when billed in conjunction with one of the following: 92550, 92552, 92553, 92556, 92567, 92570, 92579, 92582, 92587.

How do you bill a CPT 69209 bilateral?

This code is included in the surgical section of CPT and correct coding requires that this be reported with modifier -50 for a bilateral procedure. In fact, there is a specific parenthetical note that states “For bilateral procedure, report 69209 with modifier -50”.

Can CPT code 69210 be billed with 50 modifier?

A: The coder would report CPT code 69210 (removal impacted cerumen requiring instrumentation, unilateral) with modifier -50 (bilateral procedure) twice. … Coders should check with payers to ensure that there are no policies in place that would prohibit them from billing cerumen removal as a bilateral procedure.

Can a nurse Bill 69209?

So as long as it is performed by a qualified staff person and an NPP or physician is supervising then yes.

Can an office visit be billed with 69210?

When all of those conditions are met, an appropriate office visit E/M code may be reported with 69209 or 69210. Modifier 25 (significant and separately identifiable E/M service by the same physician on the same day of the procedure or other service) should be appended to the E/M visit code.

Who can Bill 69210?

Historically, many payers have required a physician to provide the service. Some payers continue to observe this restriction, while others may allow an NPP (such as nurse practitioner, physician assistant, or clinical nurse specialist) to perform and report 69210.

How do I bill 69210 to Medicare?

Reporting 69210

Documentation should indicate the equipment used to provide the service. CPT® considers this procedure unilateral and states, “For bilateral procedure, report 69210 with modifier 50.” Contradictory to CPT®, Medicare considers this a bilateral procedure and prices it as such.

What is modifier 25 in CPT coding?

Evaluation and Management
The Current Procedural Terminology (CPT) definition of Modifier 25 is as follows: Modifier 25 – this Modifier is used to report an Evaluation and Management (E/M) service on a day when another service was provided to the patient by the same physician or other qualified health care professional.

Can an audiologist bill for cerumen removal?

Q: Can I bill Medicare for cerumen removal? A: Because audiologists are reimbursed for only diagnostic services under the Medicare program, cerumen removal is considered an excluded, non-covered service; therefore the patient should pay for the service at the time it is rendered.

How Much Does Medicare pay for cerumen removal?

According to the Medicare physician fee schedule for 2020, the guide for what doctors may bill to original Medicare for their services, if approved, Medicare pays between $35 and $60 dollars for earwax removal.

What is modifier 81 used for?

Instructions. Modifier 81 is appended to the procedure code for an assistant surgeon who assists an operating or principal surgeon during part of a procedure.