Anthem Blue Cross ConnecticutCommercial Clinical Policy

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

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Effective Date

09/27/2023

Last Reviewed

08/10/2023

Original Document

  Reference



This document addresses nasal surgery for the treatment of obstructive sleep apnea (OSA) and snoring.

Note: Please see the following related documents for additional information:

  • CG-SURG-18 Septoplasty
  • SURG.00129 Oral, Pharyngeal and Maxillofacial Surgical Treatment for Obstructive Sleep Apnea or Snoring
  • SURG.00079 Nasal Valve Repair

Clinical Indications

Not Medically Necessary:

Nasal surgery employing any technique is considered not medically necessary for the treatment of snoring.

Nasal surgery employing any technique is considered not medically necessary for the treatment of obstructive sleep apnea and other sleep related breathing disorders.

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