Does CPT 69210 need a modifier?
Does CPT 69210 need a modifier?
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).
What is procedure code 92567?
92567 Tympanometry (impedance testing) 92570 Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing.
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.
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.
What is procedure CPT code 69210?
A.No. Code 69210 is defined as “removal impacted cerumen (separate procedure), one or both ears.”. Use this same code only once to indicate that the procedure was performed, whether it involved removal of impacted cerumen from one or both ears.
Is impacted cerumen billable under code 69210?
If so, then the wax actually does meet the strict AMA coding definition (listed above) for impacted cerumen. Since the removal of this “required physician work using at least an otoscope and instrumentation,” the procedure could be billable with code 69210.
What is the difference between code 99203 and 69210?
To report this patient encounter, the physician appends Modifier ‘-25’ to code 99203, and separately reports code 69210 … to indicate that both a significant E/M service and a procedure were performed on a given day.
How do I Bill more than once under CPT code 92537?
CPT code 92537 may not be billed more than once on the same date of service. To report more irrigations than indicated in the code, consider using the modifier -22 to indicate an increased service. In those circumstances, audiologists should be prepared to provide justification for the increased service.
