All PlansCoverageMedium impact
Balloon Ostial Dilation for Treatment of Chronic and Recurrent Acute Rhinosinusitis
Blue Cross & Blue Shield of Mississippi·MS · ENT (Ear, Nose & Throat), Allergy & Immunology·Medical Policy
We identified it
Jun 20, 2026
Summary
This is a medical policy defining coverage criteria for balloon ostial dilation (balloon sinuplasty) as a standalone procedure for chronic and recurrent acute rhinosinusitis. The policy establishes when this less invasive alternative to functional endoscopic sinus surgery may be covered.
Action Required
Review the complete policy document to understand coverage criteria for balloon ostial dilation procedures. Verify that documentation requirements for chronic rhinosinusitis and recurrent acute rhinosinusitis cases meet the policy definitions before submitting claims. Ensure providers understand the distinction between standalone balloon dilation versus adjunctive procedures with FESS.