And before you spend a lot of time chasing this down and appealing, make sure the doctor actually performed the service. I should have made this more clear earlier. Many offices do a "water-pik" rinse by a medical assistant and call it cerumen removal. That service does not meet the criteria to bill cerumen removal.

This document will give you more info on when it is appropriate to bill this: www.priority-health.com/p...20removal'

Sharon