CPT 69200: Otoscopy (External Auditory Canal & Tympanic Membrane Examination)

CPT 69200 – Otoscopy, diagnostic (separate procedure).

When to Report

• Stand-alone otoscopic exam not part of a comprehensive E/M service.
• Documented visualization of EAC and TM with findings.
• Performed with otoscope or microscope.

Common Clinical Scenarios

• Foreign body evaluation/removal (separate removal code if extracted).
• Otitis externa / media assessment.
• Tympanic membrane perforation check.
• Pre/post-procedure documentation (e.g., after myringotomy).

Billing Notes

• Do not report 69200 with an E/M code if otoscopy is part of the exam (bundled).
• Use modifier -25 on E/M if a significant, separate problem justifies both.
• Facility vs. non-facility RVUs differ; check payer fee schedule.

Related codes: 69210 (removal impacted cerumen), 69220 (debridement), 92504 (binocular microscopy).