Medicaid not covering 31575

[DrBodacious]

I just found out that flexible laryngoscopy is "not a covered service" for Medicaid in my state... D:

Apparently they do not cover nasopharyngoscopy, either...

Is this nation wide? Anybody else?

---

Members don't see this ad.

 

[koojo]

Wow that is really strange. Which state do you practice in? I'll ask some of my attendings and report back.

 

[Pir8DeacDoc]

not aware of that here in Virginia. I average 40-50 scopes a month, while I clearly only do them when they are needed, you are missing out on a decent income (though obviously all 50 I do aren't on Medicaid patients)

 

[DrBodacious]

I'm in Michigan. It's one thing to take 40% of Medicare for visits, but to be flat out denied pay for a service that has significant extra cost and expertise is pretty bad...

I have heard this rationalized by saying that examination of the larynx/nasopharnx is included in the E/M of the patient.

It is sad because there isn't a public hospital system in my state. Michigan is planning on a big Medicaid expansion to low income adults. I was getting some medicaid referrals from a couple hours away, and I guess I see why.

 

[resxn]

not denied here (TX). . .yet