S2342 — Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral
HCPCS/CPT
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Medicare Pricing
Work RVU
0.00
Facility
N/A
Non-Facility
N/A
Key Coverage Criteria
- Chronic sinusitis (for example, greater than 12 weeks duration) that interferes with lifestyle;and
- Functional endoscopic sinus surgery (FESS) is consideredmedically necessarywhenany oneof the following circumstances is present:
- Suspected tumor seen on imaging, physical examination, or endoscopy;or
- Suppurative (pus forming) complications, including but are not limited to:Subperiosteal abscess;orBrain abscess;or
- Subperiosteal abscess;or
- Brain abscess;or
1 Active Policy
ANTHEM-CG-SURG-24 — CG-SURG-24 Functional Endoscopic Sinus Surgery (FESS)
Related Codes
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