What is the CPT code for ear wax removal?

For removal by lavage, the correct code is 69209 Removal impacted cerumen using irrigation/lavage, unilateral. For removal using instrumentation (e.g., forceps, curette, etc.), turn instead to 69210 Removal impacted cerumen requiring instrumentation, unilateral.

For removal by lavage, the correct code is 69209 Removal impacted cerumen using irrigation/lavage, unilateral. For removal using instrumentation (e.g., forceps, curette, etc.), turn instead to 69210 Removal impacted cerumen requiring instrumentation, unilateral.

Secondly, does CPT code 69209 need a modifier? This code is included in the surgical section of CPT and correct coding requires that this be reported with modifier -50 for a bilateral procedure. In fact, there is a specific parenthetical note that states “For bilateral procedure, report 69209 with modifier -50”.

Subsequently, question is, what is the CPT code for cerumen removal?

69210

Can you code 69209 and 69210 together?

Answer: If you look at the parenthetical note with 69209 (Removal impacted cerumen using irrigation/lavage, unilateral), it says that you cannot report the code with 69210 (Removal impacted cerumen requiring instrumentation, unilateral) for the same ear.

Can you bill for cerumen removal?

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.

Is Earwax Removal covered by insurance?

These are as simple as ear wax removal, and as substantial as cochlear implants. In most cases insurance will cover the cost of hearing tests. Sometimes insurance will cover treatments for hearing loss. Unfortunately, often private medical insurance does not cover hearing aids.

How much does it cost to get your ears cleaned?

On MDsave, the cost of an Earwax Removal ranges from $90 to $231. Those on high deductible health plans or without insurance can shop, compare prices and save.

How is impacted cerumen removed from the ear?

Earwax is produced by glands in the ear canal, which leads from the outer ear to the eardrum. Impacted cerumen should be removed by a doctor to help avoid damaging the ear. Treatment options include removing the earwax with instruments or by flushing the ear canal with special liquids.

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).

What is the ICD 10 code for cerumen impaction?

Impacted cerumen, unspecified ear H61. 20 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM H61.

Does Medicare cover ear wax removal?

In most cases, however, we perform cerumen removal for hearing aid patients requiring hearing aid services, which we know are not covered benefits for Medicare beneficiaries. (Dr. So, yes, you do need to submit a claim to Medicare if requested by the patient to do so.

How often does Medicare cover ear wax removal?

Medicare only covers procedures deemed to be medically necessary. Ear wax removal does not usually fall into that category. In fact, Original Medicare benefits do not provide coverage for any hearing exams or hearing aids. This means that all ear wax removal procedures will need to be paid for out of pocket.

Can CPT code 69210 be billed with 50 modifier?

For many payers, a bilateral procedure may be reported using a single unit of 69210, with modifier 50 Bilateral procedure appended, as indicated in the CPT® 2014 codebook.

Who can perform CPT code 69209?

Nurse may perform the service: The clinical example provided by the AMA in CPT Changes: An Insider’s View makes it clear that 69209, which has no physician work relative value units attached to it, can be performed by a nurse.

What is the difference between CPT 69209 and 69210?

Ear Irrigation. You may report 69210 Removal impacted cerumen requiring instrumentation, unilateral if instrumentation is used to remove impacted cerumen. CPT® 69209 Removal impacted cerumen using irrigation/lavage, unilateral reports removal of impacted cerumen (earwax) by irrigation and/or lavage.

What is a 50 modifier used for?

CPT Modifier 50 Bilateral Procedures – Professional Claims Only. Modifier 50 is used to report bilateral procedures that are performed during the same operative session by the same physician in either separate operative areas (e.g. hands, feet, legs, arms, ears), or one (same) operative area (e.g. nose, eyes, breasts).

What is earwax made of?

Earwax consists of dead skin cells, hair, and the secretions of cerumen by the ceruminous and sebaceous glands of the outer ear canal. Major components of earwax are long chain fatty acids, both saturated and unsaturated, alcohols, squalene, and cholesterol.

How do you bill bilateral procedures?

Bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate CPT or HCPCS code. The procedure should be billed on one line with modifier 50 and one unit with the full charge for both procedures.