OTOPLASTY

Reconstructive surgery of the ear is considered for payment if it meets the following criteria:

• When the deformity or absence of the ear is the result of trauma or illness.

• If because of this condition there is significant loss of hearing. This must be documented.

It is not considered for payment if:

• This is for correcting large or prominent ears or injury resulting from piercing or from normal aging.

• The deformity is not for the reasons stated above.