icd-10 code for bilateral excess cerumen

by Caitlyn Funk 3 min read

ICD-10 code H61. 23 for Impacted cerumen, bilateral is a medical classification as listed by WHO under the range - Diseases of the ear and mastoid process .

What is the ICD 10 code for bilateral impacted cerumen?

2018/2019 ICD-10-CM Diagnosis Code H61.23. Impacted cerumen, bilateral. 2016 2017 2018 2019 Billable/Specific Code Questionable As Admission Dx. H61.23 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the ICD 10 code for Impacted cerumen right ear?

Impacted cerumen, right ear 1 H61.21 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM H61.21 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of H61.21 - other international versions of ICD-10 H61.21 may differ. More ...

What is the CPT code for cerumen removal?

If the cerumen is impacted, the method used to remove it. CPT® guidelines tell us, “For cerumen removal that is not impacted, see E/M service code …” such as new or established office patient (99201-99215), subsequent hospital care (99231-99233), etc.

Which ICD 10 code should not be used for reimbursement purposes?

H61.2 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2022 edition of ICD-10-CM H61.2 became effective on October 1, 2021. This is the American ICD-10-CM version of H61.2 - other international versions of ICD-10 H61.2 may differ.

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What is bilateral Impacted cerumen?

Impacted cerumen (se-ROO-men) is when earwax (cerumen) builds up in the ear and blocks the ear canal; it can cause temporary hearing loss and ear pain.

What is the ICD-10 code for cerumen?

The removal of impacted cerumen (69209, 69210, G0268) is only medically necessary when reported with a diagnosis of impacted cerumen (ICD-10 codes H61. 2–H61.

What is the ICD-10 code for Impacted cerumen right ear?

ICD-10-CM Code for Impacted cerumen, right ear H61. 21.

What is the ICD-10 code for Impacted cerumen left ear?

ICD-10-CM Code for Impacted cerumen, left ear H61. 22.

What is the difference between CPT 69209 and 69210?

Like CPT 69210, (removal of impacted cerumen requiring instrumentation, unilateral) 69209 requires that a physician or qualified healthcare professional make the decision to irrigate/lavage. However, unlike 69210, 69209 allows removal to be carried out by clinical staff.

What is Impacted cerumen?

Cerumen impaction is defined as an accumulation of cerumen that causes symptoms or prevents assessment of the ear canal, tympanic membrane, or audiovestibular system; complete obstruction is not required.

Is 69209 a bilateral procedure?

Both 69209 and 69210 are unilateral procedures. For removal of impacted earwax from both ears, append modifier 50 Bilateral procedure to the appropriate code. In the example above of the 7-year-old child, if irrigation occurred in both ears, appropriate coding is 69209-50.

What cerumen means?

earwaxDefinition of cerumen : earwax. Other Words from cerumen Example Sentences Learn More About cerumen.

What is the CPT code for ear wax removal?

CPT code 69210, Removal impacted cerumen, (separate procedure) one or both ears.

Does 69210 require a modifier?

When you are using 69210 for ear wax impaction, it is appropriate to use an E/M code (with modifier -25) if the patient received a true evaluation and management for a separate problem (such as bronchitis or pharyngitis) or for complicating problems (such as dizziness or otitis media).

What is procedure code 69209?

Code. Description. 69209. REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE, UNILATERAL.

What are the symptoms of Impacted cerumen?

SymptomsEarache.Feeling of fullness in the affected ear.Ringing or noises in the ear (tinnitus)Decreased hearing in the affected ear.Dizziness.Cough.

General Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

This article gives guidance for billing, coding, and other guidelines in relation to local coverage policy L33945-Cerumen (Earwax) Removal.

ICD-10-CM Codes that Support Medical Necessity

It is the responsibility of the provider to code to the highest level specified in the ICD-10-CM (e.g., to the fourth or fifth digit). The correct use of an ICD-10-CM code listed below does not assure coverage of a service. The service must be reasonable and necessary in the specific case and must meet the criteria specified in this determination.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

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