G0268 Removal of impacted wax md

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing

Medically Unlikely Edits (effective October 1, 2026)

Medicare pricing for G0268

Physician Fee Schedule (CY 2026, RVU26D)

Status A: active, paid separately under the PFS if covered. National amounts: non-facility $50.44, facility $27.39 (total RVUs 1.51 / 0.82 × $33.4009 conversion factor). Work RVU 0.59, practice expense RVU 0.84 non-facility and 0.15 facility, malpractice RVU 0.08. Global period 000. Qualifying APM participants are paid at a $33.5675 conversion factor.

Payer policies and prior authorization for G0268

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • AZ: $20.38 (outpatient_hospital, RF133), effective Oct 1, 2024
  • CO: $22.45 (chp_plus, non-facility), effective Jul 1, 2026
  • IL: $22.89 (practitioner), effective Apr 1, 2024
  • LA: $41.45 (professional), effective Jul 1, 2025
  • ND: $54.82 (physician), effective Aug 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.