Tips provided by Don Self & Associates, Inc.
When billing Medicare for 69210, a provider should be cautioned that Medicare, Blue Cross and other carriers do NOT consider lavage, or washing of ears, to be the same as described in the CPT codebook or Medicare Carrier Manual as 69210.
Often, depending on the provider, ear lavage is not separately billable and can fall within the scope of the E&M (evaluation and management) visit code.
69210 requires manual removal of IMPACTED cerumen. A Medicare auditor will be looking for specific details in the progress note, including:
This information was provided by the professionals at:
Don Self & Associates, Inc.
Medical Reimbursement Consulting
305 Senter Avenue, Whitehouse, TX 75791
Phone: (903) 372-7529 Fax: (480) 247-5650
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