Impacted cerumen removal is defined as a procedure to extract hardened or accumulated cerumen from the external auditory canal by mechanical means, such as irrigation or debridement.

As a reminder, providers who perform services for the removal of impacted cerumen are required to apply Modifier 25 to the evaluation and management (E&M) service to identify a significant, separately identifiable E&M service by the same physician or other qualified health care professional on the same day as the procedure or other services.

For more information on this requirement, visit the News & Announcements section of our Medical Policy Portal.