Problem: What are the ICD 10 & CPT codes for? Preoperative Diagnosis Cerumen impaction. Postoperative Diagnosis Cerumen impaction. Primary Procedure Removal Of Impacted Cerumen. Indications For Procedure Patient presents with decreased hearing, ear pain, a plugged feeling and "ringing" in her right ear for approximately 1 month. She attempted irrigation at home and has not felt relief of any of the symptoms. She denies any history of chronic otitis media or tympanic membrane perforation. Procedure After signing the appropriate consent forms, she was placed in a sitting position with an emesis basin under her right ear. The auricle was pulled up and back. Upon visualization, a right-angle hook was used to remove firm wax. The patient was instructed in the appropriate ways of cleaning her ears. Literature to reinforce the instructions was given to her. Need Assignment Help?