Payer PolicyActive
Intranasal Radiofrequency Ablation
AETNA-CPB-0592
Aetna
Effective: February 19, 2024
Updated: December 6, 2025
created · Dec 2, 2025
Policy Summary
Aetna covers intranasal radiofrequency volumetric tissue reduction (RFVTR/Somnoplasty; CPT 30801, 30802) for chronic nasal obstruction from mucosal hypertrophy of the inferior turbinates (ICD‑10 J34.0–J34.1, J34.3, J34.81–J34.9) only when the plan’s selection criteria are met. RFVTR for snoring is not medically necessary, RFVTR for obstructive sleep apnea and coblation procedures (non‑thermal volumetric reduction, coblation‑assisted turbinoplasty) and the RhinAer procedure are considered experimental/investigational.
Coverage Criteria Preview
Key requirements from the full policy
"ICD-10 codes covered if selection criteria are met: J34."
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