CG-SURG-87 Nasal Surgery for the Treatment of Obstructive Sleep Apnea and Snoring

- Service: Nasal surgery (for example, septoplasty, turbinate reduction, polypectomy and other techniques) performed to treat obstructive sleep apnea (OSA), snoring, or other sleep-related breathing disorders. - Coverage: Not covered—Anthem considers nasal surgery not medically necessary for treating snoring, OSA, or other sleep-related breathing disorders. - Key limitations: The noncoverage applies to all surgical techniques and indications for these sleep conditions, including when the goal is to improve CPAP tolerance; Anthem cites insufficient evidence of sustained benefit.

"Nasal surgery employing any technique is considerednot medically necessaryfor the treatment of snoring."

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