This guide aims to provide coding, billing, and coverage guidance for cerumen management.
Clinicians are strongly encouraged to reference payer-specific policies when determining appropriate code reporting and documentation requirements. Providers and billing staff should be familiar with the specific policies of the insurance companies with which they work and ensure compliance with their requirements to minimize claim denials and maximize reimbursement. Further, there may be additional regulatory considerations (e.g., state licensure and scope of practice) that should be considered prior to audiologists providing and billing these services.
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