ICD-10 code H61.20 for Impacted cerumen, unspecified ear is a medical classification as listed by WHO under the range - Diseases of the ear and mastoid process. Subscribe to Codify and get the code details in a flash. Request a Demo 14 Day Free Trial Buy Now
Impacted cerumen, bilateral. H61.23 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM H61.23 became effective on October 1, 2018. This is the American ICD-10-CM version of H61.23 - other international versions of ICD-10 H61.23 may differ.
H61.23 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM H61.23 became effective on October 1, 2018. This is the American ICD-10-CM version of H61.23 - other international versions of ICD-10 H61.23 may differ.
This is the American ICD-10-CM version of H61.21 - other international versions of ICD-10 H61.21 may differ. H61.21 is not usually sufficient justification for admission to an acute care hospital when used a principal diagnosis.
ICD-10 code H61. 2 for Impacted cerumen is a medical classification as listed by WHO under the range - Diseases of the ear and mastoid process .
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).
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.
CPT code 69210, Removal impacted cerumen, (separate procedure) one or both ears.
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.
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).
Cerumen typically is asymptomatic and does not impair physical examination. Physicians should diagnose impaction only when an accumulation of cerumen is associated with symptoms (e.g., otalgia, tinnitus, vertigo) or prevents necessary assessment of the ear. Total occlusion is not necessary for diagnosis.
The ear canal is lined with hair follicles and glands that produce a waxy oil called cerumen. Sometimes the glands produce more wax than can be easily excreted out the ear. This extra wax may harden within the ear canal and block the ear. The ear consists of external, middle, and inner structures.
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.
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 of impacted cerumen is represented by the following two CPT codes:69209 – Removal impacted cerumen using irrigation/lavage, unilateral.69210 – Removal impacted cerumen requiring instrumentation, unilateral.
Either 69209 or 69210, but Not Both Only one method of removal of impacted cerumen (i.e., either 69209 or 69210) may be reported when both are performed on the same day on the same ear. CPT® 69210 has higher relative value units than 69209 to capture the added complexity of the procedure.