What CPT code is 69210?
What CPT code is 69210?
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.
What is the difference between 69210 and 69209?
69209 – Removal impacted cerumen using irrigation/lavage, unilateral. 69210 – Removal impacted cerumen requiring instrumentation, unilateral.
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).
How Much Does Medicare pay for 69210?
| CPT Code 69210 Removal impacted cerumen (separate procedure), 1 or both ears | |
|---|---|
| Facility | |
| Average Medicare Reimbursement Per Procedure** | $33.88 |
| Break Even (Procedures) | 3.33 |
| TOTAL RETURN ON INVESTMENT | $727.50 |
Can you code 69209 and 69210 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.
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 you bill for cerumen removal?
Unilateral Procedure For bilateral impacted cerumen removal, report code 69210 with modifier 50, Bilateral Procedure, appended.
