April 29, 2021

Question:
If someone comes in for ear cleaning do you bill 69210 only or can you also bill an E/M code with modifier 25 and 69210?

Answer:
If the purpose of the encounter is for cerumen removal, as your scenario describes, then you would code only the cerumen removal (e.g., 69210).  Have more questions on cerumen removal?  Listen to Kim’s 74 minute webinar on the topic here.

*This response is based on the best information available as of 4/29/21.