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Coding an E/M code (99212) with bilateral cerumen removal (69210) for ear wax.

obinna Posted Mon 29th of December, 2014 14:19:50 PM

A pediatrician sees a patient for cerumen removal in both ears.

1.) Pediatrician selects diagnosis code 380.4 (cerumen impaction)
2.) Selects E/M code 99212 and procedure code 69210 (cerumen removal)

This was what I came up with:

99212-----------------380.4
69210(modifier 50)----380.4

Is that right?

SuperCoder Answered Tue 30th of December, 2014 03:36:26 AM

99212-----------------380.4
69210(modifier 50)----380.4

Above coding is correct, just use modifier 25 with E/M code 99212 since it is included in code 69210 as per CCI edit.

Thanks !!

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