Does Medicare Cover Balloon Sinuplasty

Pre-Certification Review Requirements For Anthem ...
Pre-Certification Review Requirements for Anthem HealthKeepers Plus Products Balloon Sinuplasty SURG.00089 P Bone-Anchored Hearing Aids SURG.00020 P Breast Procedures; including reconstructive surgery, implants and other breast procedures ... Get Doc

BALLOON SINUPLASTY IN-OFFICE 2015 REIMBURSEMENT HIGHLIGHTS
BALLOON SINUPLASTY IN-OFFICE 2015 REIMBURSEMENT HIGHLIGHTS Medicare physician payments in the facility and non-facility settings are depicted below (with no geographic Intended for use by or under the direction of a physician that is trained in the use of Balloon Sinuplasty Technology. ... Doc Viewer

2016 Coding And Billing Information
2016 Coding and Billing Information. Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (e.g., balloon dilation) If separate reporting of the work associated with implant placement is appropriate, Source of CMS (Medicare) ... Get Content Here

Balloon Sinus Ostial Dilation - UnitedHealthcare Online
Balloon Sinus Ostial Dilation Medicare Advantage Coverage Summary Nasal and Sinus Procedures Balloon sinus ostial dilation, also known as balloon dilation sinuplasty or balloon catheter sinusotomy, has been ... Get Content Here

Surgical Treatment Of Sinus Disease - BCBSNC
Surgical Treatment of Sinus Disease File Name: surgical_treatment_of_sinus_disease 2/2010 and the Relieva Seeker Balloon Sinuplasty System® cleared in November 2012. BCBSNC will cover surgical treatment of sinus disease when determined to be medically ... Fetch Doc

What Is Balloon Sinuplasty™? - Collin County ENT - Doctors
How long does surgery with Balloon Sinuplasty™ Technology take? Medicare covers endoscopic sinus surgery when any combination of tools, Most insurance companies cover sinus surgery with Balloon Sinuplasty™ devices. ... Doc Retrieval

Monday, January 15, 2008 Procedure May Offer Relief From ...
Monday, January 15, 2008 Procedure May Offer Relief from Sinusitis Balloon Sinuplasty permanently opens passages By Jan Hogan Centennial View ... Doc Viewer

Is Sinus Surgery Covered By My Insurance? | Balloon ...
Insurance Coverage. Most insurance companies and Medicare cover Balloon Sinuplasty. To be certain of your sinus surgery insurance coverage, contact your insurance provider to find out your specific policy. ... Read Here

Guidance Number: Revision Date(s): DISCLAIMER
Medicare and Medicaid members. CMS's Coverage Database can be found on the CMS website. The coverage directive(s) Balloon sinuplasty is intended for treatment of chronic sinusitis in adult patients who have not ... Get Content Here

Balloon sinuplasty - Wikipedia
Balloon sinuplasty is a procedure that ear, nose and throat surgeons may use for the treatment of blocked sinuses. Patients diagnosed with sinusitis but not responding to medications may be candidates for sinus surgery. ... Read Article

Nasal And Sinus Procedures
Coverage Statement: Nasal and sinus procedures may be covered when Medicare criteria are met. Guidelines/Notes: 1. Septoplasty Balloon Sinuplasty Medicare does not have National Coverage Determination (NCD) for balloon sinuplasty. ... Get Document

Clinical Policy: Balloon Sinus Ostial Dilation For Treatment ...
Clinical Policy: Balloon Sinus Ostial Dilation for Treatment of Chronic Sinusitis Reference Number: CP.MP.119 Effective Date: 11/16 The goal of balloon sinuplasty is to restore normal sinus drainage by enlarging passages of the ... Return Document

Medical Coverage Policy Balloon Sinuplasty For Treatment Of ...
Medical Coverage Policy Balloon Sinuplasty for Treatment of Chronic Sinusitis Device/Equipment Drug Medical Surgery Test Other ... Retrieve Content

Medical Coverage Policy | Balloon Sinuplasty For Treatment Of ...
Medical Coverage Policy | Balloon Sinuplasty for Treatment of Chronic Sinusitis sad . 500 EXCHANGE STREET, PROVIDENCE, RI 02903-2699 MEDICAL COVERAGE POLICY | 2 BlueCHiP for Medicare and Commercial The following codes are not medically necessary: 31295, 31296, 31297 ... Fetch This Document

Balloon Sinus Ostial Dilation 91596-R2 - Priority Health
The use of balloon sinus ostial dilation, e.g. Balloon Sinuplasty™, MEDICARE: Coverage is determined by the Centers for Medicare and Medicaid Services Limitations of balloon sinuplasty in frontal sinus surgery. ... Retrieve Doc

Effective April 7, 2014 UTILIZATION MANAGEMENT STANDARD ...
CLINICAL REVIEW PREAUTHORIZATION LIST . Required (Excludes Medicare Advantage) Required (Child Health Plus Only) Balloon Sinuplasty Required Required Bariatric Procedures Required Required Biofeedback Required Required ... Return Doc

2014 Hospital Out-patient Facility Medicare Fee Schedule
2014 Hospital Out-patient Facility Medicare Fee Schedule Disclaimer: Reimbursement information is gathered from the CMS website, When balloon catheter is utilized as an adjunct tool during surgical removal of tissue for a treated sinus, ... Retrieve Full Source

Key N = No Y = Yes FFS Fee For Service HDE = Humanitarian ...
TECHNOLOGY COMMERCIAL MEDICARE MEDICAID LAST REVIEW AbioCor® Implantable Replacement Heart Balloon sinuplasty (E.g., alloon Sinuplasty System™ Functional Infundibular Endoscopic Sinus System [FinESS], Relieva Seeker Balloon Sinuplasty System) ... Retrieve Doc

Premera Blue Cross Medicare Advantage Plans Medical Policy ...
Following policies are updated and available on the secure provider Premera Medicare Advantage website at . • Balloon Sinuplasty: Language clarification Premera Blue Cross Medicare Advantage Plans . ... Read Document

Corporate Reimbursement Policy - Blue Cross Blue Shield ...
Bundling Guidelines Balloon Sinuplasty – Balloon sinuplasty (codes 31295, 31296, 31297) performed in conjunction with functional endoscopic sinus surgery (FESS) is considered incidental to the major service and not eligible for separate reimbursement. ... Read Content

Cigna Medical Coverage Policy
Cigna does not cover neuromuscular junction testing for ANY other indication because it is considered not medically necessary. Cigna does not cover nerve conduction velocity testing when performed with NEMG testing for ANY ... Fetch Content