Ear Exam Under Anesthesia

Question:  

Our surgeon performed an evaluation of the external ear canal on a pediatric patient because the child would not allow the surgeon to evaluate the ears thoroughly in the office. We cannot find a CPT code for this service. Do we use an unlisted code?

Answer:

The correct way to report this service, assuming a more definitive procedure was not performed is CPT code 92502-52. CPT code 92502, (Otolaryngologic examination under general anesthesia) describes a complete ENT exam, thus modifier 52 (reduced services) is appropriate to indicate an entire otolaryngologic examination was not performed.