69210 Cpt Code Description. The 69210 CPT code refers to a procedure The Current Procedural
The 69210 CPT code refers to a procedure The Current Procedural Terminology (CPT ®) code 69210 as maintained by American Medical Association, is a medical procedural code under the range - Removal Procedures on the The procedure associated with CPT® Code 69210 involves the removal of this impacted cerumen through the use of instrumentation. Every vignette contains a The Current Procedural Terminology (CPT ®) code 69205 as maintained by American Medical Association, is a medical procedural code under the range - Removal Procedures on the Effective Date:November 16, 2015Revision Date:November 24, 2025Policy Last Review Date:November 24, 2025Purpose:To provide guidelines for reimbursement of procedure Please answer the questions below. The complicating factor with procedure code 69210 for cerumen removal is the fact that many times removal of impacted cerumen is required in order to visualize the ear canal and assess The AMA ends the rash of CPT 69210 interpretations and offers clear-cut guidance on appropriate code use. The appointment may be scheduled for loss of hearing or ear pain, or may just CPT Code 69210 specifically identifies the removal of impacted cerumen, which is the medical term for earwax, when instrumentation is required, and the procedure is performed The CPT 69210 code is part of the Surgery services used for Surgical Procedures on the Auditory System. These codes are paid separately under There has been a recent surge in calls to our Provider Contact Center regarding CPT code 69210 (removal of impacted ear wax). You read one article that states a nurse can perform 69210, another “Medicare Part B treats these codes as if the description were ‘unilateral or bilateral’ even though that description was changed a few years ago to just unilateral. It represents a moderate-complexity encounter and is one of several codes that vary CPT has updated the 69210 CPT code for Cerumen removal to reflect the removal of impacted cerumen that requires instrumentation on one side. To report a bilateral procedure, append modifier -50 with “2” in the units Q. 1/1/2014 New information added to Billing/Coding section: Effective 1/1/2014 CPT 69210 describes a unilateral procedure. Question: When would I ever use G0268 for cerumen removal vs 69210? Answer: G0268 is a HCPCS II code for “Removal of impacted cerumen (one or both ears) by physician . CPT 69210 specifies the removal of entrapped earwax using a special instrument, such as a curette, forceps, or vacuum suction. The Essential Guide to Modifier Usage for CPT Code 69210: Understanding and Applying Modifiers in Medical Coding for Impacted Cerumen Removal Welcome, fellow Palmetto GBA - Jurisdiction J Part B - Removal of Impacted Ear Wax: Claim Submission Information The Current Procedural Terminology (CPT ®) code 69220 as maintained by American Medical Association, is a medical procedural code under the range - Removal Procedures on the CPT Code 69210 specifically identifies the removal of impacted cerumen, which is the medical term for earwax, when instrumentation is required, and the procedure is performed CPT Code: 69210 Description: Removal impacted cerumen requiring instrumentation, unilateral Status Code A Active Code. Discover the differences between irrigation/lavage and CPT® Code 69210 | Case2Code CPT code 69210 should not be used to report simple ear irrigations. Additional fields may appear based on previous answers. Learn about the removal of impacted cerumen (earwax) with CPT® codes 69209 and 69210. The complicating factor with procedure code 69210 for cerumen removal is the fact that many times removal of impacted cerumen is required in order to visualize the ear canal and assess We would like to show you a description here but the site won’t allow us. What is the correct use of CPT code 69210 (removal impacted cerumen [separate procedure], one or both ears)? - Question submitted by Kathy Partenheimer, Medi Learn how to report cerumen removal procedures, including CPT code 69210, with detailed guidance on coding and billing practices. In clinical situations when documentation demonstrates that the services are rendered in need of a physician's expertise, billing, and payment under CPT code 69210 or HCPCS code G0268 CPT® Code 69210 in section: Removal Procedures on the External EarCPT® Vignettes illustrate code use through sample patient examples. Most CPT code 69210 refers to the removal of impacted cerumen (earwax) from the external auditory canal, requiring instrumentation such as curettes, Hearing loss or pain may be due to impacted cerumen, but without impacted cerumen, 69210 is not applicable. What is CPT code 69210? CPT code 69210 represents a specific medical procedure focused on the removal of impacted cerumen, or ear wax, from one ear using specialized instruments. Summary: CPT 69210 is used when impacted cerumen (earwax) must be removed with instrumentation, not irrigation alone. This method is typically employed when irrigation or Some CPT® codes cause more than their share of confusion, and judging from the feedback we receive from Healthcare Business Monthly readers, one such code is 69210 69210 billing and payment guidelines Priority Health denies code 69210, removal of impacted cerumen requiring instrumentation, Review description and fee schedules for CPT Code 69210, intended for Surgery, and compare rates across different payers. The E&M documentation must reflect the elements defined by the American Medical Association in the CPT manual and First, you should not be submitting 69210 (Removal impacted cerumen requiring instrumentation, unilateral) with any modifier for We would like to show you a description here but the site won’t allow us. Fields with a red asterisk (*) are required.