23 Miss. Code. R. 203-6.1 - Covered Services
Medicaid covers the following podiatry services:
A. Laboratory services required for care of a
systemic condition are covered only to the MD/DO supervising the systemic
condition or to a laboratory to which the MD/DO has referred the
specimen.
B. Physical therapy
services that are medically necessary and appropriate for the treatment of the
foot condition.
C. Radiology
services provided in an office setting that are medically necessary and include
both the technical and professional components of the service if
provided.
D. Foot care required as
a result of or associated with systemic conditions limited to once every sixty
(60) days.
E. Surgical treatment of
ingrown toenails. Localized pathology of the soft tissue surrounding the nail
must demonstrate that it is severe enough to require professional
intervention.
F. Debridement if
gross contamination requires prolonged cleansing.
G. Surgical debridement of mycotic nails with
a manual or electric grinder method if the following conditions exists:
1. Clinical evidence of mycosis of the
toenail.
2. Documentation of the
severity of the condition and if patient ambulatory have marked limitation of
ambulation, pain or secondary infection resulting from the thickening and
dystrophy of the infected toenail plate and for non-ambulatory patients must
suffer pain or secondary infection resulting from the thickening and dystrophy
of the infected toenail plate.
H. Debridement of mycotic nails once every
sixty (60) days.
I. Correction of
hammertoe.
J. Definitive treatment
of viral or plantar warts.
K.
Medical or surgical treatment of subluxation of the ankle joint (talocrural
joint). Services that are medical or surgical, diagnosis, or treatment for
medical conditions that have resulted from or associated with partial
displacement of structures.
L.
Treatment of paronychia for stages A and B when avulsion or debridement is
provided.
M. Foot care in the
presence of metabolic, peripheral, or neurological disease including the
following:
1. Diabetes Mellitus,
2. Arteriosclerosis obligerans,
3. Buerger's disease,
4. Chronic thrombophlebitis, or
5. Peripheral neuropathies involving feet
that are associated with malnutrition, alcoholism, malabsorption, or pernicious
anemia, peripheral neuropathies
Notes
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No prior version found.