Billable Code Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis. H61. 23 is a billable ICD code used to specify a diagnosis of impacted cerumen, bilateral. A ‘billable code’ is detailed enough to be used to specify a medical diagnosis.Click to see full answer. Herein, what is the ICD 10 code for ear wax removal? H61.20 Additionally, what is the correct code assigned for a patient with impacted cerumen of the left ear? Documentation Requirements for 69210 To ensure proper reporting of 69210, documentation in the medical record should ideally include: Location of impacted cerumen (left ear, right ear, or bilateral) Moreover, how do you bill 69210 bilateral? A: The coder would report CPT code 69210 (removal impacted cerumen requiring instrumentation, unilateral) with modifier -50 (bilateral procedure) twice. Alternatively, the coder could report code 69210 twice with modifiers -LT (left side) and -RT (right side).What is impacted cerumen bilateral?Definition. Cerumen impaction refers to the buildup of layers of earwax within the ear canal to the point of blocking the canal and putting pressure on the eardrum. Ironically, cerumen impaction is often caused by misguided attempts to remove earwax.