Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 203 - Physician Services
Chapter 4 - Surgery
Rule 23-203-4.19 - Skin Tag Removal
Universal Citation: MS Code of Rules 23-203-4.19
Current through September 24, 2024
A. Medicaid does not cover removal of benign skin tags that do not pose a threat to health or function.
B. Medicaid covers the removal of skin tags when there is medical documentation that one or more of the following conditions exist:
1. The skin
tag has one or more of the following characteristics: bleeding, itching,
pain,
2. The skin tag has physical
evidence of inflammation such as purulence, oozing, edema, erythema,
3. The skin tag obstructs an
orifice,
4. The skin tag clinically
restricts vision,
5. There is
clinical uncertainty as to the likely diagnosis, particularly where malignancy
is a realistic consideration based on the skin tag appearance, or
6. A prior biopsy suggests or is indicative
of malignancy.
C. Medicaid requires documentation to include the patient's signs and symptoms and skin tag physical findings including size, location, appearance, number, duration and changes over time, tissue diagnosis report, operative note with detail to support the surgical procedure performed.
Miss. Code Ann. § 43-13-121
Disclaimer: These regulations may not be the most recent version. Mississippi may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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