Data Updated for Q4 2018
CPT Code: 69210
Description: Removal impacted cerumen requiring instrumentation, unilateral
Status Code
A
Active Code. These codes are paid separately under the physician fee schedule, if covered. There will be RVUs for codes with this status. The presence of an “A” indicator does not mean that Medicare has made a nation
Global Days
000
Endoscopic or minor procedure with related preoperative and postoperative relative values on the day of the procedure only included in the fee schedule payment amount; evaluation and management services on the day
Medicare RUVs and Fees
Work RVU – 0.61
Malpractice RVU – 0.07
Facility RVU – 0.26
Non-Facility RVU – 0.70
Facility Total RVU – 0.94
Non-Facility Total RVU – 1.38
Medicare National Facility Total Payment – $33.84
Medicare National Non-Facility Total Payment – $49.68
Bundling Information
Includes
0213T, 0216T, 0228T, 0230T, 11000, 11001, 11004, 11005, 11006, 11042, 11043, 11044, 11045, 11046, 11047, 12001, 12002, 12004, 12005, 12006, 12007, 12011, 12013, 12014, 12015, 12016, 12017, 12018, 12020, 12021, 12031, 12032, 12034, 12035, 12036, 12037, 12041, 12042, 12044, 12045, 12046, 12047, 12051, 12052, 12053, 12054, 12055, 12056, 12057, 13100, 13101, 13102, 13120, 13121, 13122, 13131, 13132, 13133, 13150, 13151, 13152, 13153, 36000, 36400, 36405, 36406, 36410, 36420, 36425, 36430, 36440, 36591, 36592, 36600, 36640, 37202, 43752, 51701, 51702, 51703, 61650, 62310, 62311, 62318, 62319, 62320, 62321, 62322, 62323, 62324, 62325, 62326, 62327, 64400, 64402, 64405, 64408, 64410, 64412, 64413, 64415, 64416, 64417, 64418, 64420, 64421, 64425, 64430, 64435, 64445, 64446, 64447, 64448, 64449, 64450, 64461, 64462, 64463, 64470, 64475, 64479, 64480, 64483, 64484, 64486, 64487, 64488, 64489, 64490, 64491, 64492, 64493, 64494, 64495, 64505, 64508, 64510, 64517, 64520, 64530, 64550, 69209, 69990, 90760, 90765, 90772, 90774, 90775, 90780, 92012, 92012, 92014, 92014, 92504, 93000, 93005, 93010, 93040, 93041, 93042, 93318, 93355, 94002, 94200, 94250, 94680, 94681, 94690, 94770, 95812, 95813, 95816, 95819, 95822, 95829, 95955, 96360, 96361, 96365, 96366, 96367, 96368, 96372, 96374, 96375, 96376, 96377, 97597, 97598, 97602, 99148, 99149, 99150, 99155, 99156, 99157, 99211, 99212, 99213, 99214, 99215, 99217, 99218, 99219, 99220, 99221, 99222, 99223, 99231, 99232, 99233, 99234, 99235, 99236, 99238, 99239, 99241, 99242, 99243, 99244, 99245, 99251, 99252, 99253, 99254, 99255, 99291, 99292, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316, 99334, 99335, 99336, 99337, 99347, 99348, 99349, 99350, 99374, 99375, 99377, 99378, 99446, 99447, 99448, 99449, 99495, 99496, C8950, C8952, G0345, G0347, G0351, G0353, G0354, G0463, G0471
Included In
0208T, 0209T, 0210T, 0211T, 0212T, 0485T, 0486T, 69000, 69005, 69020, 69100, 69105, 69110, 69120, 69140, 69145, 69150, 69155, 69200, 69205, 69220, 69222, 69300, 69310, 69320, 69405, 69410, 69420, 69421, 69424, 69433, 69436, 69440, 69450, 69540, 69550, 69610, 69620, 69631, 69632, 69633, 69635, 69636, 69637, 69641, 69642, 69643, 69644, 69645, 69646, 69650, 69660, 69661, 69662, 69666, 69667, 69670, 69676, 92502, 92506, 92507, 92508, 92510, 92521, 92522, 92523, 92524, 92537, 92538, 92543, 92550, 92552, 92553, 92555, 92556, 92557, 92558, 92561, 92562, 92563, 92564, 92565, 92567, 92568, 92569, 92570, 92571, 92572, 92573, 92575, 92576, 92577, 92579, 92582, 92583, 92584, 92585, 92586, 92587, 92588, 92589, 92596, 92620, 92621, 92625, 92626
Mutually Exclusive
G0268
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Related CPT Codes
CPT Code | Description |
---|---|
69200 | Removal foreign body from external auditory canal; without general anesthesia |
69200 | Removal foreign body from external auditory canal; without general anesthesia |
69205 | Removal foreign body from external auditory canal; with general anesthesia |
69209 | Removal impacted cerumen using irrigation/lavage, unilateral |
69210 | Removal impacted cerumen requiring instrumentation, unilateral |
69220 | Debridement, mastoidectomy cavity, simple (eg, routine cleaning) |
69222 | Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) |