Health First Bronchial Thermoplasty  Form

Medical Policy Subject: Bronchial Thermoplasty Policy Number: MP-0190 Applies To: All Lines Effective Date: 9/2/17 Revised: October 2023 Document Page Length: 2 Medical Policy Statement: Bronchial Thermoplasty (BT) is not covered under any HFHP benefit plan. BT is considered not medically necessary for the treatment of asthma as there is insufficient evidence concerning the extent of benefit and long-term safety and efficacy of this treatment. Description: Bronchial thermoplasty is a treatment for asthma that delivers controlled thermal energy to the airway wall during a series of bronchoscopy procedures to decrease smooth muscle mass to improve asthma control. The long term safety and efficacy of this procedure is unproven.