Medium impact
Sinonasal and Eustachian Tube Surgical Procedures - Medicare Advantage (Revised)
Humana·Effective Apr 1, 2026
CPT 31257, in plain terms, covers A procedure examining the nasal passages and sinuses while also looking at and treating the sphenoid sinus area. CPT 31257 is referenced in 1 tracked payer policy change from Humana. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 31257 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.
Official descriptor: CPT 31257 on AAPC
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