Removal impacted cerumen using irrigation/lavage, unilateral
CPT4 code
Name of the Procedure:
Removal of Impacted Cerumen using Irrigation/Lavage, Unilateral
Summary
This procedure involves the removal of earwax (cerumen) that has become lodged in the ear canal. It is done by flushing the ear with a gentle stream of water.
Purpose
The procedure addresses the buildup of earwax that can cause hearing loss, pain, or infection. The goal is to clean the ear canal, restore hearing, and relieve discomfort.
Indications
- Earache
- Hearing loss
- Ear fullness
- Tinnitus (ringing in the ears)
- Itchy ear canal
- Dizziness or balance issues
- Visible earwax blocking the ear canal
Preparation
- Avoid inserting anything into the ear canal for at least a few days prior.
- Inform the healthcare provider of any ear surgeries or conditions that may complicate the procedure.
- Conduct a brief hearing assessment if necessary.
Procedure Description
- The patient sits upright with a basin held under the ear to collect water.
- The healthcare provider uses a syringe or specialized irrigation device to gently flush the ear canal with warm water.
- The ear is inspected using an otoscope to ensure all wax has been removed.
- Additional irrigation or manual removal with instruments may be done if necessary.
Tools: Syringe, irrigation devices, otoscope. Anesthesia: Generally not required; occasionally, a topical anesthetic may be applied.
Duration
Approximately 15-30 minutes.
Setting
Outpatient clinic or primary care office.
Personnel
- Healthcare provider (general practitioner, nurse, or ENT specialist)
- Medical assistant for assistance
Risks and Complications
- Ear canal irritation
- Temporary dizziness or vertigo
- Ear infection
- Perforation of the eardrum (rare)
Benefits
- Relief from discomfort and pain
- Improved hearing
- Prevention of infection
- Immediate results following the procedure
Recovery
- Dry the ear gently but thoroughly following the procedure.
- Avoid inserting objects into the ear canal.
- Use prescribed ear drops if provided.
- Follow-up may be arranged to monitor ear health.
Alternatives
- Manual removal with ear curette (more suitable for certain cases)
- Use of earwax softeners and home irrigation kits
- Microsuction by an ENT specialist Alternatives may involve longer treatment times or be more invasive.
Patient Experience
The procedure is generally well tolerated. Patients may feel a sensation of fullness, warm water, or mild discomfort during irrigation. Post-procedure, there may be slight discomfort, but pain is usually minimal. Pain relief measures include over-the-counter painkillers if needed.