23 Miss. Code. R. 203-1.9 - Removal of Impacted Cerumen
A. Medicaid covers
the removal of impacted cerumen only for symptoms directly related to the
presence of impacted cerumen. Symptoms include, but are not limited to, the
following:
1. Earache,
2. Itching of the ear,
3. Feeling that the ear is plugged,
4. Partial hearing loss,
5. Ringing in the ear, or
6. Otorrhea
B. Medicaid does not cover simple removal of
non-impacted cerumen and is considered incidental to an evaluation and
management service.
C. Medicaid
requires documentation to support occlusion, impaction or blockage, of the
external auditory canal secondary to cerumen. The presence of earwax, without
symptoms, is not sufficient to support need for removal and symptoms of wax
impaction.
Notes
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