Oxygen Treatment of Inner Ear/Carbon Therapy

Oxygen (95%) with carbon dioxide (5%) inhalation therapy for inner ear disorders, including endolymphatic hydrops and fluctuating hearing loss, is considered not reasonable and necessary and is not covered. The policy specifies no covered indications, documentation requirements, or frequency allowances for this therapy.

"Oxygen (95%) and carbon dioxide (5%) inhalation therapy for inner ear disease (e."

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