Payer PolicyActive
SURG.00089 Self-Expanding Absorptive Sinus Ostial Dilation
ANTHEM-SURG.00089
Anthem
Effective: April 16, 2025
Updated: December 30, 2025
Policy Summary
This policy addresses the use of self-expanding absorptive sinus ostial dilation devices/procedures for the treatment of sinus conditions (e.g., sinusitis). Anthem considers this service investigational/experimental and not medically necessary; it is not covered for any indication, including acute or chronic sinusitis. No covered circumstances are identified; claims (e.g., CPT 31299, HCPCS S2344) are subject to denial.
Coverage Criteria Preview
Key requirements from the full policy
"The use of self-expanding absorptive sinus ostial dilation for the treatment ofanysinus condition, including, but not limited to sinusitis, is consideredinvestigational and not medically necessary."
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