Removal of Impacted Cerumen

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.