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Family Practice Coding Alert

You Be the Coder:
Report 69209 for Incomplete Removals? Use a Modifier

Question: Our clinician recently detected impacted cerumen in a patient with complaints of blockage in the left ear. Our clinician attempted to remove the cerumen through irrigation. However, only part of the cerumen could be removed; it could not be removed completely. Can a ‘cerumen removal’ code be reported? If so, should any modifier like 52 be reported with the service? [...]