One-liner#

Office cerumen removal when impaction causes symptoms or obstructs exam/audiologic evaluation.

Minimum documentation#

  • Symptoms and why removal is needed (pain, hearing loss, cannot visualize TM, etc.)
  • Laterality
  • Method (irrigation vs instrumentation) and patient tolerance
  • Post-procedure exam (e.g., TM visualized, canal status) and complications
  • Aftercare (dry ear precautions if needed)

Coding + RVU table scaffold#

CodeDescriptionUnitswRVUpeRVU (non-facility)mpRVUTotal RVU
69209Removal impacted cerumen using irrigation/lavage, unilateral1
69210Removal impacted cerumen requiring instrumentation, unilateral1