ICD-10-CM Code for Impacted cerumen, right ear H61. 21.
ICD-10-CM Code for Impacted cerumen, left ear H61. 22.
380.4380.4 Impacted cerumen - ICD-9-CM Vol. 1 Diagnostic Codes.
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.
Impacted cerumen removal is the extraction of hardened or accumulated cerumen (ear wax) from the external auditory canal by mechanical means, such as irrigation or debridement.
A: The coder would report CPT code 69210 (removal impacted cerumen requiring instrumentation, unilateral) with modifier -50 (bilateral procedure) twice. Alternatively, the coder could report code 69210 twice with modifiers -LT (left side) and -RT (right side).
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.
Group 1CodeDescription69209REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE, UNILATERAL69210REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERALG0268REMOVAL OF IMPACTED CERUMEN (ONE OR BOTH EARS) BY PHYSICIAN ON SAME DATE OF SERVICE AS AUDIOLOGIC FUNCTION TESTING
Removal impacted cerumen requiring instrumentation69210, Removal impacted cerumen requiring instrumentation, unilateral.
Earwax (Cerumen Impaction).
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.
Listen. May also be called: Ear Impaction; Ear Blockage; Earwax Blockage; Impacted Earwax; Cerumen Inspissatum. 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.
Removal impacted cerumen requiring instrumentation69210, Removal impacted cerumen requiring instrumentation, unilateral.
CPT code 69210, Removal impacted cerumen, (separate procedure) one or both ears.
An ear lavage, also known as ear irrigation or ear flush, is a safe method of earwax removal when performed by a healthcare professional.
A new CPT code, 69209, provides a specific billing code for removal of impacted cerumen using irrigation/lavage. 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.
Other specified disorders of ear, unspecified ear 1 H93.8X9 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 H93.8X9 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of H93.8X9 - other international versions of ICD-10 H93.8X9 may differ.
The 2022 edition of ICD-10-CM H93.8X9 became effective on October 1, 2021.
41010: Incision of lingual frenum (frenotomy): The physician makes an incision in the lingual frenum, freeing the tongue and allower greater range of motion. The lingual frenum is the membrane under the tongue that attaches it to the floor of the mouth.
40806: Incision of labi al frenum (frenotomy): The physician makes an incision in the labial frenum, freeing the lip and allower greater range of motion. The labial frenum is the membrane that attaches the lip to the gums.
1. Cerumen impairs the exam of clinically significant portions of the external auditory canal, tympanic member, or middle ear condition;
3. Obstructive, copious cerumen cannot be removed without magnification and multiple instrumentations requiring physician skills. (but check for payer policy because some allow you to bill for an MA doing a warm water irrigation)
You do not code normal, and you do not assign a code for a condition the documentation does not support. If the cerumen is not impacted then use the symptoms the patient presented.
This code is not used with minor procedures, or when it is not used for a diagnostic procedure. Cerumen removal and binocular microscopy are bundled with each other.