Prior Auth Required

31295 - Nasal/sinus endoscopy, surgical, with Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceNasal/sinus endoscopy, surgical, with Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan
Procedure / Service Description

NOT apply to Indian Health Services - (IHS) facilities. No review needed for 18 and under. 31295 Nasal/sinus endoscopy, surgical, with Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan dilation (eg, balloon dilation); maxillary of Service of care, and documentation of medical sinus ostium transnasal or via canine fossa necessity including for site of service. Site

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.