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CPT 69210 - Attn Steve
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Re: CPT 69210 - Attn Steve
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aleaver
Re: CPT 69210 - Attn Steve
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Mar 24 06 7:55 PM
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I'm not Steve but couldn't help but put my 2 cents in...
That's a new one to me. In 16 years, I never had a plan say you can only have cerumen removal by a physician once every 90 days. Is the patient supposed to walk around unable to hear? What about if it was in a different ear?
Smells like an appeal to me but you will need to check for the policy for the patient's plan first if you are contracted (as Steve indicated).
Also, if the patient came in strictly for cerumen removal, the 99213 may not apply. The E&M should be seperate and distinct from the 69210 and usually requires a 25 modifier on the E&M.
April
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Medical Billing & Coding Education from the MAB
Continuing Education
Management Advice and Training
Questions Asked More Than Once
Help Wanted - Billing and Coding
Non Billing Talk
The Venting Area (Clean posts please)
Medical Coding and Billing News
Fraud and Abuse
Health Insurance - Provider Contracting
ERISA
Tricare
Workers' Compensation
General Medical Billing Questions
Appeals
Accounts Receivables (A/R)
Refunds
Auto Accident Issues
Medisoft Technical Support
Medical Software Technical Support Questions Other than Medisoft. No Investigation Questions!
General Medical Coding Forum
CPT Coding Questions
HCPCS Coding Questions
ICD-9-CM Coding Questions
Evaluation & Management Coding Questions
Acupuncture Billing and Coding
Ambulance Coding and Billing
Cardiology Coding and Billing
Chiropractic Coding and Billing
Dental Billing and Coding
DME Coding and Billing
Emergency Department Coding and Billing
Family Practice Coding and Billing
Hospital Inpatient and Outpatient Coding
Hospital Billing, Appeals and Collections
Internal Medicine Coding and Billing
Laboratory Coding and Billing
Ophthalmology Coding and Billing
OB-GYN Coding and Billing
Pain Management Coding and Billing
Pediatric Coding and Billing
Podiatry Coding and Billing
Physical Therapy Coding and Billing
Psychiatry Coding and Billing
Radiology Coding and Billing
Surgery Coding and Billing
Neurology Coding and Billing
Urgent Care Coding and Billing
Provider Compliance
Billing Center Compliance
HIPAA
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CPT 69210 - Attn Steve
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