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The Centers for Disease Control and Prevention (CDC) estimates sinusitis affects more than 28.9 million adults in the United States. Government Agency, Medical Society, and Other Authoritative Publications: Medical Policy & Technology Assessment Committee (MPTAC) review. D77 bee an7tah7g7 ninaaltsoos bined44 n0omba bik17g7ij8 b44sh bee hod77lnih call1-800-472-2689(TTY: 711). The U.S. Food and Drug Administration (FDA), which reviewed this new modality in 2011, re commended that 2 -view breast tomosynthesis is preferable to 1 -view tomosynthesis Moore and Eccles (2011) reported on a review of 14 articles in which nasal airflow was measured before and after septoplasty due to nasal obstruction because of septal deviation. Clinical assessment is an accurate predictor of which patients will need septoplasty. ). Complexity - Full rhinoplasty treating many parts of the nose and requiring anesthesia is more expensive than simple procedures isolated to specific areas which may be performed with local anesthesia While having some deviation of the septum is rather common, asevere deviation can reduce airflow in one or both of your nostrils. Septoplasty is considered not medically necessary when the above criteria are not met and for all other indications including, but not limited to, the following: The following codes for treatments and procedures applicable to this document are included below for informational purposes. After surgery, you may have nasal packs or soft splints in your nostrils to stabilize the septum. The recovery for septoplasty is less time than for rhinoplasty. Any internal breathing issues can be addressed as well and is submitted to insurance; for repair and straightening of the internal nose to its pre-injury state. Septoplasty is considered not medically necessary when the above criteria are not met and for all other indications including, . Outcomes after nasal septoplasty: results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study. Telligent is an operating division of Verint Americas, Inc., an independent company that provides and hosts an online community platform for blogging and access to social media for Blue Cross and Blue Shield of Illinois. 4 0 obj Are you interested in becoming a member? Septoplasty is covered" section to state "Nasal septum trauma (within the past year) that Updated Discussion/General Information and References sections. Tips to help you get the most from a visit to your healthcare provider: Know the reason for your visit and what you want to happen. Distressing symptoms of nasal obstruction with documented absence of other causes of obstruction likely to be responsible for the symptoms (for example, nasal polyps, tumor, etc. 2004; 130(3):283-290. van Egmond MMHT, Rovers MM, Hannink G, et al. Updated Discussion/General Information and References. It may be part of a rhinoplasty or it can be done alone). Hello, Your provider will need to submit a predetermination of benefits request with the information regarding your need for a septoplasty, including the procedure and diagnosis codes to be billed. The physical exam may be done with a handheld tool (nasal speculum) that lets your provider gently open the nostril a little. MPTAC review. Medically necessary criteria for the rhinoplasty component of the combined procedure and relevant coding instructions can be found in ANC.00008 Cosmetic and Reconstructive Services of the Head and Neck. Most insurance companies, including BC/BS of Florida will pay for a rhinoplasty within a year of the injury for a deformity arising from a fracture that occurred while the insurance was in effect. A septoplasty is an internal surgery in the nose simply to straighten the midline wall between the two sides of the nose. Revision surgery - Revision plastic surgery is generally more expensive than primary surgery Secondary objective outcomes included nasal patency measured by peak nasal inspiratory flow (PNIF) and 4-phase rhinomanometry (4PR). covered. (You must log in or sign up to reply here. For all procedures only the initial reconstructive repair is covered, unless the procedure is normally done in stages. Deviated Septum - AHealthyMe - Blue Cross Blue Shield of Massachusetts Skip to main content En Espaol Em Portuguese Menu Search Library: ABCDEFGHIJKLMNOPQRSTUVWXYZA-Z ListingsFeatured Tools The Basics : , . Pulsed Irrigation Evacuation (PIE) Stretching and Splinting Devices for the Treatment of Joint Stiffness and Contractures Thoracic-Lumbo-Sacral Orthosis with Pneumatics Threshold Electrical Stimulation as a Treatment of Motor Disorders Transcutaneous Electrical Nerve Stimulation (TENS) Septoplasty is a surgical procedure performed to correct airway obstruction related to the nasal septum. 2020 Blue Cross and Blue Shield of Massachusetts, Inc., or Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. Blue Cross Blue Shield of Massachusetts is a leading provider of quality health insurance for residents of Massachusetts. Not Registered? The determination as to whether any services performed by a Provider for a BCBS member are covered by a Blue Cross and Blue Shield Agreement, and the amount of payment for such services, shall be made by BCBSIL. ~ Kayla KimberlyNecole over 6 years ago in reply to BCBSIL Connect Team The primary objective of the study was to assess the effectiveness of septoplasty when compared to nonsurgical treatment of nasal obstruction in adults using the self-reported Glasgow Health Status Inventory (GHSI). During the procedure, parts of the septum may be removed. Sedaghat AR, Busaba NY, Cunningham MJ, Kieff DA. Moore and Eccles (2011) reported on a review of 14 articles in which nasal airflow was measured before and after septoplasty due to nasal obstruction because of septal deviation. Will BCBSil cover a septorhinoplasty? . 239 0 obj <>/Filter/FlateDecode/ID[<39EB435F5134FA4F83635D3BE920FE58>]/Index[221 37]/Info 220 0 R/Length 91/Prev 99529/Root 222 0 R/Size 258/Type/XRef/W[1 2 1]>>stream Sinusitis can be acute; meaning the symptoms occur for less than 4 weeks, or it can be chronic which means symptoms last for longer than 12 weeks. A 2020 Clinical Practice Guideline by the American Academy of Otolaryngology/Head and Neck Surgery for nosebleed (epistaxis) notes that septoplasty can be done in individuals with recurrent nosebleeds and septal deviation stating control of bleeding likely from some combination of improved nasal airflow, interruption of mucosal vasculature, and/or more effective packing.. A 2021 retrospective case series by Law and colleagues sought to determine if mean NOSE scores at 1 month post septoplasty with inferior turbinate reduction were similar to scores at greater than 6 months postoperatively. hbbd``b`:$gX. To learn more about our Massachusetts health plans, please visit our Plans & Products page, where you can compare Massachusetts health insurance plans, buy health plans online, and get Mass health insurance quotes. With 98 participants included, mean NOSE score preoperatively was 72.1, 1 month was 17.1, and 6 months was 12. Final results of nasal surgery may not be clear for 6 months or more. Other Adobe accessibility tools and information can be downloaded at https://access.adobe.com. Participants were included if there was a primary diagnosis of nasal obstruction as the main indication for septoplasty. When Rhinoplasty is covered Rhinoplasty may be considered medically necessary in the following conditions: . LU . Available at. Removed Place of Service. Otolaryngology: Head & Neck Surgery, 4th ed. Learn more about our other insurance plans and Medicare plans, or contact a sales representative today. In these patients, septoplasty offered considerable subjective and objective benefits compared with non-surgical management, which were sustained up to 24 months of follow-up. Depending on the severity of your symptoms, surgery may be advised. This document addresses indications for septoplasty. These sprays take several weeks to reach their maximum potential. endobj No part of this publication may be reproduced, stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical, photocopying, or otherwise, without permission from the health plan. The participants were randomly assigned (1:1) to receive either septoplasty (n=102) with or without concurrent turbinate surgery or non-surgical treatment (n=101). One side looks collapsed from the surgery and I have a Terrible time breathing. We provide health . <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Find medical policy for Blue Shield of California plans View clinical policies and procedures for Blue Shield of California Promise Health Plan Or your provider may use a small lighted scope (otoscope) to look into the nostrils. Chronic Sinusitis. Our patients find that the first week has the most discomfort after septoplasty only because of packing with stents to keep the airway open and keep things stable while you're healing. For the participants in the non-surgical treatment group, if complaints persisted during the 24 months of follow-up, they were able to cross-over to the surgical group and monitored as planned. All participants had significant reductions in NOSE score from preoperative time to 6 months postoperatively, although the reductions were not statistically significant between 1 and 6 months postoperative. Laryngoscope. They will ask questions about any previous injury, and symptoms. Clinical Practice Guideline: Nosebleed (Epistaxis). Laryngoscope. or devices are not covered (See General Exclusion Section of brochure). At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. I also have Blue Cross/Blue Shield and went to an ENT for the evaluation and surgery. Discussion in 'Strength & Conditioning Discussion' started by PistolPeteMMA, Dec 12, 2010. This website does not display all Qualified Health Plans available through Get Covered NJ.To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ.. Products and services are provided by Horizon Blue . This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. 2012; 76(8):1078-1081. The 14 articles included 536 participants and all showed objective evidence that septal surgery improves nasal patency.. Due to the nature of the trial (surgery versus non-surgical arm), masking was not possible. Updated Description and Coding sections. Do surgeons think it's unethical to reshape it to my preference under insurance? View Medical Policies Medical decisions relative to medical technologies are to be made strictly by members/patients in Septal deviation occurs when the septum, which divides the two sides of the nasal cavity, is displaced from a straight vertical alignment causing blockage of airflow through one or both sides of the nose. Aseptoplastyis a surgical procedure that is designed to correct a deviated septum. After lifting the mucous membrane, they will move the deviated symptom into the proper position and remove any excess bone or cartilage that is obstructing your nasal passages. Unlike the short-term finance options, these have reduced APR and fixed monthly payments. Otolaryngol Head Neck Surg. In the majority of cases a septoplasty is covered by most PPO insurances and Medicare as it is causing significant medical issues like chronic nasal obstruction, recurrent sinus infections, sinus headaches, chronic mouth breathing/snoring, recurrent nosebleeds or various other symptoms. In a 2019 open, multicenter, pragmatic, randomized controlled trial in the Netherlands, van Egmond and colleagues reported on individuals who had nasal obstruction, a deviated septum, and an indication to have septoplasty. This surgical procedure, usually performed under local or general anesthesia, corrects nasal septum defects or deformities by alteration, splinting, or partial removal of obstructing structures. Scarring is not visible when internal surgery is done. In the non-surgical group, GHSI mean score was 63.9, NOSE score was 49.6, SNOT-22 score was 67.0, EQ-5D-3L utility score was 0.87, EQ-5D-3L VAS score was 74.9, PNIF before decongestion was 95.0, PNIF after decongestion was 109.7. Can my surgeon give me the nose Ive always wanted while getting rid of a bump acquired from injury? If you're considering enrolling in one of our individual and family plans, learn a bit more about the coverage you'll receive. The Centers for Disease Control and Prevention (CDC) estimates sinusitis affects more than 28.9 million adults in the United States. Under FEP Blue Focus, benefits are not available for services performed by Non-preferred providers, except in certain situations such as emergency care. Keep in mind they aren't based on actual prices. Clarification to Clinical Indications. Otolaryngol Head Neck Surg. You want cosmetic rhinoplasty then you need to pay for the surgery. I am 18/f. So, do you think within a week after your surgery you will be able to workout? For those in the non-surgical treatment group, there was no pre-specified treatment regimen. Your surgeon may use stitches to help keep everything in place but packing the nose with cotton or using a splint may be enough. Decongestants work to clear the congestion in your nasal passageways. Other exclusions included history of nasal septal surgery, untreated allergic rhinitis or allergic rhinitis unresponsive to medical treatment, septal perforation, or if the septoplasty was being done as part of a cosmetic rhinoplasty or in participants with a cleft lip or palate. . Ask if your condition can be treated in other ways. In the non-surgical group, GHSI mean score was 63.9, NOSE score was 49.6, SNOT-22 score was 67.0, EQ-5D-3L utility score was 0.87, EQ-5D-3L VAS score was 74.9, PNIF before decongestion was 95.0, PNIF after decongestion was 109.7. 2012; 76(8):1078-1081. American Academy of Otolaryngology Head and Neck Surgery (AAO-HNS). Federal and State law, as well as contract language, and Medical Policy take precedence over Clinical UM Guidelines. ~ Kayla Septoplasty may be done with traditional open surgery from inside the nose. ; 6="*`Q+Oh3V_Xhn4yf(W>B$$\NgK{}Jd_^vVw*[Un%xsWJ%$uV2\uK9FdURu_y8%xjs5yV1* ig?(Yi8q|?L&e+gqX>s[9-1 zfad53\hjBiYr~0YK Xn>% N}h'ZOr6ADm?,bQE%?&f!~0^8k+k_0{LmF#Vb me'*o;t2y.VKmqf/ s^9gW(!)O2@hkm<6T^ =ujq_l]{*tA?Os6;0 ldH7Xm l\wTDa8%@ -l 6,{7sK n\". ); For snoring, in the absence of one or more symptoms or conditions indicated as medically necessary. : , , : .. Medications can be used to ease the discomfort but relying on nasal sprays which have a strict usage schedule, breath-rite strips, and other self-soothing techniques can be incredibly frustrating. Also know what the side effects are. A participating Provider may, at all times, bill a BCBS member for non-covered services. They reduce swelling and keep the airways open. MPTAC review. Services Described in this Policy Complications of plastic surgery Eyes Facial Plastic Surgery Congenital deformities Nose Hair: Removal, Transplant, Wigs 2020; 162(1S):S1-S38. That means your surgeon is unlikely to do everything the patient wants for the insurance payment. Int J Pediatr Otorhinolaryngol. However (and this may be unusual) I have an arrangement with my local hospital where I do about 10 to 12 hours of surgery twice a week and they want to keep me there. We reserve the right to review and update Clinical UM Guidelines periodically. Clinical Consensus Statement: septoplasty with or without inferior turbinate reduction. Why it Matters Who You Choose for a Septoplasty in Los Angeles, Septoplasty for Snoring - Why, When, and How It's Performed, Congestion and difficulty breathing through your nose (can be one-sided or both sides), Facial pain (This is debatable, but if you experience facial pain on the same side as your deviation, the septum may be contributing to the pain). %h@1%x +HSd: 8, &w!]L$U9igDOdG 8avNi'F,,:y`#rbW8}[AQR\^Y}[|X>'39]yOO|=x{x'B+\P{-N e(q9bLcy To determine if review is required for this Clinical UM Guideline, please contact the customer service number on the member's card. The cost of cosmetic surgery involves several charges for the entire service. Please refer to the member's contract benefits in effect at the time of service to determine coverage or non-coverage of these services as it applies to an individual member. It is the intent of Blue Shield of California (BSC) to use definitions and make determinations consistent with the Reconstructive Surgery Act (AB 1621) which added Section 1367.63 to the California Health You may also have stuffiness, congestion, or a feeling of fullness. ID 1-800-472-2689TTY 711 ). When Cosmetic and Reconstructive Surgeryis not covered . While many people don't experience any side effects, amore severe deviated septum can causesome uncomfortable symptoms. ANC.00008 Cosmetic and Reconstructive Services of the Head and Neck, SURG.00096 Surgical and Ablative Treatments for Chronic Headaches, CG-SURG-87 Nasal Surgery for the Treatment of Obstructive Sleep Apnea and Snoring, https://journals.sagepub.com/doi/pdf/10.1177/0194599819890327, https://www.enthealth.org/conditions/deviated-septum/, https://www.cdc.gov/nchs/fastats/sinuses.htm, Symptomatic septal deviation or deformity resulting in. To determine if review is required for this Clinical UM Guideline, please contact the customer service number on the member's card. You are leaving this website/app ("site"). While these medications are available as both a pill and a spray, the spray works quicker. Cost sharing may not apply or may be different if Medicare is your primary coverage (it pays first). %PDF-1.5 % Predictors of long-term nasal obstruction symptom evaluation score stability following septoplasty with inferior turbinate reduction. 1-800-472-2689( . . .: 711). Now that we've equipped you with the basic knowledge you need to get started and take your breathing into your hands. Get answers to frequently asked questions. You may be born with a deviated septum. Participants were excluded if the primary indication for septoplasty was based on concurrent complaints such as sleep disorders, headaches, or impairment of normal sinus drainage. Due to variances in utilization patterns, each plan may choose whether to adopt a particular Clinical UM Guideline. If you're not familiar with the health insurance terms used on a summary of benefits and coverage, here's a Glossary of Health Coverage and Medical Terms. The median duration of nasal obstruction before trial entry was 7 years, and most participants (79% in the septoplasty group; 86% in the non-surgical management group) had received previous treatment for nasal obstruction. The total fees may also include cost of surgical supplies, laboratory tests, anesthesia, and hospital operating room charges, in addition to the surgeon's fee for performing the cosmetic surgery. The majority of patients,over 90% to be precise, who go through with septoplasty experience a significant improvement in their symptoms. This site uses cookies to help personalise content, tailor your experience and to keep you logged in if you register. These documents also show your estimated costs for two sample medical events: having a baby and managing diabetes. Member Service 1-800-472-2689(TTY: 711). Well-designed, randomized studies are necessary to define appropriate criteria for OSA surgical procedures. Healing is a slow process. 9. Updated References section. This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey's Health Insurance Marketplace. Secondary subjective outcomes included the Nasal Obstruction Symptom Evaluation (NOSE) scale, sino-nasal outcome test-22 (SNOT-22), the three-level EuroQol, five dimensions (EQ-5D-3L), and Glasgow Benefit Inventory (GBI). Funny I just had that surgery done on Thursday. Chiamate il Servizio per i membri al numero riportato sulla vostra scheda identificativachiamata1-800-472-2689(TTY: 711 ). Available at: Centers for Disease Control and Prevention. Due to variances in utilization patterns, each plan may choose whether to adopt a particular Clinical UM Guideline. The authors conclude that the trial: Shows that many patients, despite medical treatment, continue to live with nasal obstruction for years before being referred to the ear, nose, and throat surgeon. MPTAC review. HiColumbia6571, Septoplasty is considered not medically necessary when the above criteria are not met and for all other indications including, but not limited to, the following: The following codes for treatments and procedures applicable to this document are included below for informational purposes. Clinical trials are in progress to assess the effect of conservative management versus septoplasty for septal deviation with nasal obstruction. Our Vision Making Quality Health Care AffordableOur Promise To Always Put Our Members First. Individuals attempting unauthorized access will be prosecuted. Or it can result from injury or damage from past treatments. Please call 1-888-288-2738 and we'll help. Primary analysis was done at 12 months on 94 participants who had septoplasty and 95 participants who had non-surgical treatment. The articles were limited to those with surgery on the nasal septum (including septoplasty, submucous resection and septal deviation corrective surgery) and articles with different forms of objective measurement of nasal airflow including rhinomanometry, acoustic rhinometry and peak nasal inspiratory flow. The inferior turbinates of the only ones that are operated upon for airflow obstruction in the nose. Rele nimewo Svis Manm nan ki sou kat Idantitifkasyon w lan (Svis pou Malantandan Rele 1-800-472-2689 TTY: 711 ). 1-800-472-2689(TTY: 711). I had a septoplasty with turbinate reduction in March 2015 under BCBS Mississippi. %PDF-1.7 I ended up paying $400 towards my deductible but the rest was covered (I think out of pocket it would have been over $10,000). Septoplasty . Tawagan ang Mga Serbisyo sa Miyembro sa numerong nasa iyong ID Card tumawag1-800-472-2689(TTY: 711 ). Connect Community - Blue Cross and Blue Shield of Illinois, Yes, they'd follow the same process to submit a request for the SeptoRhinoplasty. By continuing to use this website, you consent to these cookies. The first two days of recovery really sucked but it is already getting better. A total of 30% of the participants did cross over. This can lead to sinus infections that keep coming back (recurrent). Available at: Cummings CW, Flint P, Haughey B, et al. Clinical Consensus Statement: septoplasty with or without inferior turbinate reduction. Available at: Centers for Disease Control and Prevention. 2015; 153(5):708-720. 2023 C/V ENT Surgical Group | Privacy Policy. Region - Beverly Hills rhinoplasty more expensive than rural Midwest Available at: Cummings CW, Flint P, Haughey B, et al. For the participants in the non-surgical treatment group, if complaints persisted during the 24 months of follow-up, they were able to cross-over to the surgical group and monitored as planned. A summary of benefits and coverage explains things like what a health insurance plan covers, what it doesn't cover, and what your share of costs will be. Sherdog.com is a property of Mandatory Media, LLC, monitoring_string = "5200e30beed193e5fe31f8bccc2bdcbf". Possible side effects include jitters, high blood pressure, and elevated heart rate. Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the . Rufen Sie den Mitgliederdienst unter der Nummer auf Ihrer ID-Karte an Anrufen1-800-472-2689(TTY: 711 ). Always follow your healthcare professional's instructions. <> However often it is combined with a rhinoplasty (aka nose-job) if a patient wishes to change the cosmetic appearance. Septoplasty is generally performed to improve nasal breathing, and for this reason it is typically covered by most insurance plans. Removed ICD-9 codes from Coding section. MPTAC review. MPTAC review. endstream endobj startxref , 1-800-472-2689(: 711 ). 4 Please see brochure for covered lab services. Lancet. The most common symptom from a deviated septum is trouble breathing through the nose. 1-800-472-2689(TTY: 711) . Updated Discussion/General Information and References. Lancet. The thing is, I have ALWAYS hated my nose. ); For snoring, in the absence of one or more symptoms or conditions indicated as medically necessary. They are listed in the Category Search on the Medical Policy search page. 1996-document.write(new Date().getFullYear()); Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. While limitations include the retrospective design and procedures performed by two surgeons with differing techniques, NOSE scores showed improvement following septoplasty and inferior turbinate resection for septal deviation after failed conservative treatment. t^6 rA/O -=BsZ 2013; 123(1):48-52. : Nu quy v n.i Ting Vit, c.c dch v h tr ng.n ng c cung cp cho quy v min ph.. Gi cho Dch v Hi vi.n theo s tr.n th ID ca quy v Cuc gi 1-800-472-2689(TTY: 711 ). The document header wording updated from Current Effective Date to Publish Date. Updated Websites section. My practice is to incorporate any reasonable patient request into the procedure. If you are tired of managing symptoms, or your septum deviationis severe, you should consider septoplasty. If needed, a CT scan of the nose and sinuses may be done. Once the deviation is significantly affecting your quality of life you should look into getting it fixed. 0 A 2021 retrospective case series by Law and colleagues sought to determine if mean NOSE scores at 1 month post septoplasty with inferior turbinate reduction were similar to scores at greater than 6 months postoperatively. The procedure is done through the nostrils. Please refer to the member's contract benefits in effect at the time of service to determine coverage or non-coverage of these services as it applies to an individual member. A total of 30% of the participants did cross over. Get access to your member portal. Refer to Septoplasty - Certificate of Medical Necessity. The information on RealSelf is intended for educational purposes only. Services provided by Empire HealthChoice HMO, Inc. and/or Empire HealthChoice Assurance, Inc., licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Once the deviation is significantly affecting your quality of life you should look into getting it fixed. Snoring and nosebleeds are commonplace in your life. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Final results of nasal surgery may not be clear for several months or more. MPTAC review. Predictors of long-term nasal obstruction symptom evaluation score stability following septoplasty with inferior turbinate reduction. Government Agency, Medical Society, and Other Authoritative Publications: Medical Policy & Technology Assessment Committee (MPTAC) review. 8/2021 . With 98 participants included, mean NOSE score preoperatively was 72.1, 1 month was 17.1, and 6 months was 12. Regardless of how you ended up here, you don't have to live with these symptoms forever. After surgery, you may feel mild pain. Some sites may require you to agree to their terms of use and privacy policy. A. MPTAC review. Primary analysis was done at 12 months on 94 participants who had septoplasty and 95 participants who had non-surgical treatment. Clinical assessment is an accurate predictor of which patients will need septoplasty. Be careful; if you don't finish paying it off, you will be charged cumulative interest from the original purchase date. Law RH, Bazzi TD, Van Harn M, et al. In the septoplasty group, GHSI mean score was 72.2, NOSE score was 67.5, SNOT-22 score was 76.8, EQ-5D-3L utility score was 0.89, EQ-5D-3L VAS score was 74.0, PNIF before decongestion was 124.3, PNIF after decongestion was 133.0. Updated Discussion/General Information and References sections. If a patient does not have insurance then cash rates can range from $5,000 to $10,000 depending on whether its a primary case or a revision procedure and this would include the anesthesia and facility fees as well as the surgeons fee. Portions of plastic surgery may also be covered by your insurance provider, such as septoplasty or turbinate reduction. (ID Card) 1-800-472-2689(TTY: 711 ). Updated Discussion/General Information and References. Participants were excluded if the primary indication for septoplasty was based on concurrent complaints such as sleep disorders, headaches, or impairment of normal sinus drainage. The Blue Cross and Blue Shield Association does not intend by the FEP Medical Policy Manual, or by any particular medical policy, to recommend, advocate, encourage or discourage any particular medical technologies.
