Current through October 18, 2024
Rule 23-203-1.9 - Removal of Impacted CerumenA. 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: 3. Feeling that the ear is plugged,5. Ringing in the ear, orB. 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.23 Miss. Code. R. 203-1.9
Miss. Code Ann. § 43-13-121