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Difficult Code: 69210 - AAPC Knowledge Center
https://www.aapc.com/blog/28075-difficult-code-69210/
Billing for Cerumen Removal Kyle C. Dennis Practice ...
https://www.audiologyonline.com/ask-the-experts/billing-for-cerumen-removal-649
CPT code 69210 is used by physicians to code cerumen management when performed as a separate procedure. When performed as part of a physical exam, cerumen management is not coded separately. Audiologists are not reimbursed for treatment services under Medicare.
LCD - Cerumen (Earwax) Removal (L33945)
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=33945&CptHcpcsCode=69210&kq=true
Medicare Coverage of Cerumen Removal - Audiology
https://www.audiology.org/practice-resources/coding/coding-frequently-asked-questions/medicare-coverage-of-cerumen-removal/
Appropriate Coding and Billing of ... - Audiology Practices
https://www.audiologypractices.org/appropriate-coding-and-billing-of-cerumen-removal
We strongly advise that you consult your third-party agreements and payers regarding coverage, or the lack thereof, of removal of impacted or non-impacted cerumen within their plans. Also, it is important to note, when billing for removal of impacted cerumen (69210), the claim should included the ICD-9 diagnosis code of 380.4 (Impacted cerumen).
National Correct Coding Initiative (CCI ... - audiology.org
https://www.audiology.org/national-correct-coding-initiative-cci-edits-for-audiology-procedures/
The Academy recommends providers review CMS’ guidance regarding the use of the -59 modifier to determine if the modifier applies to a particular situation. Table 1: CCI Edits for Audiology Services * CPT code 69210, (cerumen management) cannot be billed on the same date of service as any audiometric or vestibular tests. Table 1.
Medicare Coverage Policy on Cerumen Removal
https://www.asha.org/practice/reimbursement/medicare/cerumen/
Billing for Cerumen Removal Under Medicare Kim Cavitt ...
https://www.audiologyonline.com/ask-the-experts/billing-for-cerumen-removal-under-40
Answer (Dr. Steven White) There currently is no code for cerumen "management." The CPT code for cerumen removal is a surgical code: 69210, removal of impacted cerumen. The key term in the title is "impacted."
Audiology Professional Payment Policy - Tufts Health …
https://tuftshealthplan.com/documents/providers/payment-policies/audiology
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