Bernadette Posted Fri 18th of October, 2013 11:57:11 AM
We wanted to know if we could still use ICD-9 code
380.4 when we perform a simple ear lavage. The patient had impacted cerumen and we removed it with colace and water (ear lavage). We would bill an E/M CPT code but we wanted to double-check about the diagnosis code. Is
SuperCoder Answered Fri 18th of October, 2013 18:01:44 PM
Yes. '380.4' is correct. You can use CPT code '69210' for the removal.
Bernadette Posted Thu 24th of October, 2013 09:49:47 AM
Thank you for your response. We had read that if it was an ear lavage we could NOT use
69210. We could only use E/M code
99201-99215. Is this correct? Please clarify.
SuperCoder Answered Thu 24th of October, 2013 18:57:06 PM
According to Coder's Desk Reference: "Under direct visualization, the physician removes impacted cerumen (ear wax) using suction, a cerumen spoon or delicate forceps. If no infection is present, the ear canal may be irrigated." In 2014 they've revised the code to say 'using instrumentation only."