Cpt 69210 modifier 50 guidelines

cpt 69210 medicare reimbursement 2018
cms guidelines for cerumen removal 2018
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69210 cpt code 2018
cpt code for ear lavage 2018cpt 69209
cpt 69210 2018

16 Jun 2014 CPT® 2014 changed it with “Removal impacted cerumen requiring includes a coding note that guides you to add modifier 50 for bilateral procedures. The latest from CMS is that bilateral claims for 69210 will not be paid. Note: effective 1/1/2014 CPT 69210 describes a unilateral procedure. To report a bilateral procedure, append modifier -50 with “2” in the units field. Cerumen removal is considered incidental to audiologic function tests 92551 and 92552. The Centers for Medicare & Medicaid Services (CMS) Bilateral Procedure CMS and American Medical Association (AMA), AMA guidelines take precedence. Our health plan will therefore accept 69210-50 as a valid HCPCS/modifier 20 Jun 2018 Only bill 69210 with the RT, LT, OR 50 modifier. CPT 69210 " Removal impacted cerumen requiring instrumentation, unilateral" does not 11 Jul 2018 For example, CPT code 69210 Removal impacted cerumen requiring instrumentation, unilateral (even though the CPT book indicates to bill with modifier 50 if done bilaterally) would not be reimbursable if billed with a modifier 50 since the CMS NPFS payment indicator is “2”, not “1” or “3”. Code 69210 uses instrumentation such as curettes, hooks, forceps or suction to Texas Medicaid adds the following requirements all of which must be met: Modifier 50 (bilateral procedure) should be appended to the CPT code per CPT4 Jun 2014 The purpose of this article is to clarify claim submission instructions when Claims submitted for CPT code 69210 with CPT modifier 50 will be requiring instrumentation, unilateral, is revised in the CPT. 2014 code set impacted cerumen removal, report code 69210 with modifier 50, Bilateral Procedure,. CPT Modifier 50 Bilateral Procedures – Professional Claims Only. Shield of Texas/HMO Blue Texas Professional Multiple Surgery Pricing Guidelines apply. 5 Oct 2018 Both 69209 and 69210 are unilateral procedures. For removal of impacted earwax from both ears, append modifier 50 Bilateral procedure to the appropriate code. CMS does allow us to bill a bilateral procedure for cerumen removal by lavage using 69209-50.