Aetna medical policy balloon sinuplasty
WebBalloon ostial dilation (BOD, also known as balloon sinuplasty) is proposed as an alternative to functional endoscopic sinus surgery (FESS) for patients with chronic … Webdrainage. Balloon sinuplasty is proposed to treat patients with chronic sinusitis who have exhausted less aggressive treatment options. Policy/Criteria 1. It is the policy of health plans affiliated with Centene Corporation® that balloon sinuplasty is medically necessary in order to relieve obstruction of the maxillary, sphenoid, and frontal
Aetna medical policy balloon sinuplasty
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WebBalloon sinuplasty is an in-office treatment alternative to sinus surgery for people with sinus infections and nasal congestion. Sinus infections can be severe, causing pain, stuffed nose, and postnasal drip. ... located in the Medical Arts Building behind Overlook Hospital. The office address is 33 Overlook Rd, Ste 401, Summit NJ. Dr. Carniol ... WebHealth Care Professionials. Health Care Professionals: Joining the Network FAQs. Health Care Professionals: Clinical Policy Bulletins FAQs. Health Care Professionals: Dispute …
WebMay 31, 2024 · Balloon ostial dilation (also known as balloon sinuplasty) is proposed as an alternative to traditional endoscopic sinus surgery for patients with chronic rhinosinusitis or recurrent acute rhinosinusitis who fail medical management. The procedure involves placing a balloon in the sinus ostium of the frontal, maxillary, or sphenoid sinuses and ... WebFeb 18, 2024 · Use of a catheter-based inflatable device (balloon sinus ostial dilation) may be considered medically necessary during functional endoscopic sinus surgery (FESS). Balloon sinus ostial dilation is considered an inherent part of the FESS procedure, and is not eligible for separate payment: When code 31295 is reported with code 31233, 31256, …
WebHPHC policies are based on medical science, and written to apply to the majority of people with a given condition. Individual members’ unique clinical circumstances, and … WebAetna considers septoplasty medically necessary when any of the following clinical criteria is met: Asymptomatic septal deformity that prevents access to other intranasal areas …
WebPolicy. Aetna considers myringotomy and tympanostomy tube (also known as ventilation tube and grommet) insertion medically necessary for any of the following indications: Autophony due to patulous eustachian tube; or. Barotitis media control; or. Children with cleft palate and history of otitis media with effusion and persistent hearing …
Webdelegated vendor guidelines may be used to support medical necessity and other coverage determinations. Overview . This Coverage Policy addresses diagnostic nasal/sinus endoscopy, functional endoscopic sinus surgery (FESS) and turbinectomy procedures. Endoscopy is the insertion of a thin tube directly into an opening in the body, or thorn hill tap house wexford happy hourWebThe benefit information in this Coverage Summary is based on existing national coverage policy; however, Local Coverage Determinations (LCDs) may exist and compliance with these policies are required where applicable. There are instances where this document may direct readers to a UnitedHealthcare Commercial Medical Policy, Medical thornhill tap house wexfordWebThis Coverage Policy addresses balloon sinus ostial dilation, also called balloon sinuplasty, for the treatment of chronic sinusitis and other indications, including … thorn hill tap house wexfordWebMedical Policy #225 Description of Procedure or Service: Balloon ostial dilation (also known as balloon sinuplasty™) is proposed as an alternative to traditional endoscopic sinus surgery for patients with chronic sinusitis who fail medical management. The procedure involves placing a balloon in the sinus ostium and inflating the unable to open msn newsWeboutpatient hospital/ambulatory balloon sinuplasty. 6/1/2024. 5/2024 New medically necessary and investigational indications. Clarified coding information. Effective 5/1/2024. 10/2016 New references added from BCBSA National medical policy. 1/2016 New references added from BCBSA National medical policy. 11/2014 BCBSA National … thorn hill tasting roomWebThis Medical Policy applies to Individual Exchange benefit plans in all states except for Colorado, Massachusetts, Nevada, and New York. ... In a single-center, retrospective analysis of 110 patients who underwent balloon sinuplasty for chronic rhinosinusitis (CRS), Castro et al. (2024) evaluated 4-year outcomes and effectiveness and determined ... thornhill tavernWebJan 11, 2008 · DSS Sinusplasty Balloon Catheter Intuit Medical Products LLC K143738 8/27/2015 Sinus Ostia Dilation Relieva SpinPlus Balloon Sinuplasty System Acclarent Inc. K143541 4/22/2015 Sinus Ostia Dilation XprESS Multi-Sinus Dilation Tool Entellus Medical Inc. K142252 10/17/2014 Sinus Ostia Dilation Relieva Scout Multi-Sinus Dilation System thorn hill tap room wexford pa