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Readers ask: What is h61 23?

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

What is the ICD 10 code for ear wax removal?

The removal of impacted cerumen (69209, 69210, G0268) is only medically necessary when reported with a diagnosis of impacted cerumen (ICD-10 codes H61.

What is the CPT code for cerumen removal?

For 2016, Current Procedural Terminology (CPT ®) code 69209 Removal impacted cerumen using irrigation/lavage, unilateral was created.

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 is the ICD 10 code for impacted cerumen right ear?

H61. 21 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is CPT code G0268?

G0268 is a HCPCS II code for “ Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ” while CPT code 69210 says “Removal impacted cerumen requiring instrumentation, unilateral.” Historically, G0268 was used for the otolaryngologist’s work to remove impacted

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Is CPT 69210 a bilateral code?

CPT® identifies 69210 as a unilateral procedure. If the provider removes impacted cerumen from both the right and left ears, you may report a bilateral procedure. In other words: Medicare won’t pay anything extra if you report cerumen removal bilaterally. Check with your individual payers to determine their policies.

Can you bill for cerumen removal?

If impacted earwax is removed by irrigation or lavage only, use CPT 69209. CPT 69210 should NOT be reported for lavage. obstructive, copious cerumen cannot be removed without magnification and multiple instrumentations requiring physician or non-physician practitioner skills.

Is cerumen removal covered by insurance?

Does insurance cover ear wax removal? For the most part, insurance companies and Medicare do not cover earwax removal. According to Medicare, there may be some exceptions if the patient is enrolled in a Medical Advantage plan which provides additional coverage for hearing care3.

How do you bill 69210 for both ears?

A: The coder would report CPT code 69210 ( removal impacted cerumen requiring instrumentation, unilateral ) with modifier -50 (bilateral procedure) twice. Alternatively, the coder could report code 69210 twice with modifiers -LT (left side) and -RT (right side).

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.

What does Do not report 69209 in conjunction with 69210 when performed on the ear?

For removal of impacted cerumen requiring instrumentation, use 69210. For cerumen removal that is not impacted, use an E/M service code. Do not report 69209 in conjunction with 69210 when performed on the same ear. For bilateral procedure, report 69209 with modifier 50.

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What modifier is needed for 69210?

When you are using 69210 for ear wax impaction, it is appropriate to use an E/M code (with modifier -25 ) if the patient received a true evaluation and management for a separate problem (such as bronchitis or pharyngitis) or for complicating problems (such as dizziness or otitis media).

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