PA Lookup
If you have questions about prior authorizations, please call:
Member and Recipient Service Line: 1-877-685-2415
Provider Support Service Line: 1-855-250-1539
Injection of contrast medium for dacryocystography
How to Submit
N/A - No authorization is required
Unlisted procedure, lacrimal system
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
How to Submit
Please submit your request to Trillium Health Resources
Drainage external ear, abscess or hematoma; simple
How to Submit
N/A - No authorization is required
Drainage external ear, abscess or hematoma; complicated
How to Submit
N/A - No authorization is required
Drainage external auditory canal, abscess
How to Submit
N/A - No authorization is required
Ear piercing
How to Submit
N/A - No authorization is required
Biopsy external ear
How to Submit
N/A - No authorization is required
Biopsy external auditory canal
How to Submit
N/A - No authorization is required
Excision external ear; partial, simple repair
How to Submit
N/A - No authorization is required
Excision external ear; complete amputation
How to Submit
N/A - No authorization is required
Excision exostosis(es), external auditory canal
How to Submit
N/A - No authorization is required
Excision soft tissue lesion, external auditory canal
How to Submit
N/A - No authorization is required
Radical excision external auditory canal lesion; without neck dissection
How to Submit
N/A - No authorization is required
Radical excision external auditory canal lesion; with neck dissection
How to Submit
N/A - No authorization is required
Removal foreign body from external auditory canal; without general anesthesia
How to Submit
N/A - No authorization is required
Removal foreign body from external auditory canal; with general anesthesia
How to Submit
N/A - No authorization is required
Removal impacted cerumen using irrigation/lavage, unilateral
How to Submit
N/A - No authorization is required
Tympanometry and Acoustic Reflex Testing
Tympanometry and acoustic reflex testing both provide valuable information when evaluating the middle ear and inner ear respectively. However, each test has its own specific function. Tympanometry provides useful quantitative information about the presence of fluid in the middle ear. This is a useful study for pediatricians, family practitioners, and otolaryngologists as it can be used for determining middle ear disease and, is excellent for following children with a history of middle ear disease. It is the only method of measuring middle ear function in a beneficiary who is unable to perform a formal audiometry test. Tympanometry is usually indicated without acoustic reflex testing. Acoustic reflex testing utilizes sound to test the reflex contractions of the stapedius muscle. This may be measured bilaterally, even when the sound is introduced only on one side. This test is used specifically for the evaluation of sensorineural hearing loss.
Exclusions
Medicaid will not cover the following:
- a. Tympanometry and acoustic reflex testing for routine screenings.
- b. Tympanometry and acoustic reflex testing for a beneficiary who does not
meet any of the indications listed in Subsection 3.2.1.
- c. Tympanometry when any of the following are present:
- 1. Ear pain;
- 2. Decreased hearing when no objective hearing test performed;
- 3. Ear drainage;
- 4. Fever;
- 5. Inflamed tympanic membrane;
- 6. Desquamated epithelium on membrane;
- 7. Bulging tympanic membrane; or
- 8. Evidence of middle ear effusion
Place of Service
Inpatient, Outpatient, Office
How to Submit
N/A - No authorization is required
Resources
Debridement, mastoidectomy cavity, simple (eg, routine cleaning)
How to Submit
N/A - No authorization is required
Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)
How to Submit
N/A - No authorization is required
If you find any wrong or out of date information on our pages, we want to know. Please email info@TrilliumNC.org with any corrections.