SURG.00079 Nasal Valve Repair

This policy addresses procedures and devices for nasal valve repair/treatment of nasal airway obstruction, specifically nasal valve suspension, absorbable nasal implants, and low‑dose radiofrequency intranasal tissue remodeling. Anthem considers these approaches investigational and not medically necessary; they are not covered. There are no covered indications under this policy, and claims billed with CPT/HCPCS codes 30468, 30469, 30999, E1760, and E1769 for these techniques are noncovered.

"Nasal valve suspension as a surgical technique for the repair of nasal valve collapse is consideredinvestigational and not medically necessary."

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