Can you bill an E/M code with 69210? Bx just told me that 99213 had to be changed to another code

re: Can you bill an E/M code with 69210? Bx just told me that 99213 had to be changed to another code

Ofcourse we can bill 69210 with E\M Code. You can bill any of the E\M code 99201-99215 with 692010, just use mod 25 for E\M code that's it

I regularly 69210 with E\M code and got paid also

re: Can you bill an E/M code with 69210? Bx just told me that 99213 had to be changed to another code

CMS requires that physicians meet the following criteria for reimbursement of the removal of impacted cerumen:
-The procedure is the sole reason for the patient encounter;
-A physician or non-physician (nurse practitioner, physician assistants, or clinical nurse specialist) carries out the treatment.
-The patient in question is symptomatic; and
-The supporting documentation shows significant time and effort spent performing the service.
Furthermore, for CMS reimbursement of an E/M visit and cerumen removal, the following criteria must be met:
-The initial reason for the patient’s visit was separate from the cerumen removal.
-Otoscopic examination of the tympanic membrane is not possible due to the impaction;
-Removal of the impacted cerumen requires the expertise of the physician or non-physician practitioner and is personally performed by him or her; and
-The procedure requires a significant amount of time and effort, and all of the above criteria are clearly documented in the patient’s medical record.