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Steroid-Eluting Sinus Stents and Implants

Blue Cross & Blue Shield of Mississippi·MS · ENT (Ear, Nose & Throat)·Medical Policy
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

BCBS Mississippi has updated their medical policy for steroid-eluting sinus stents and implants (PROPEL, SINUVA), maintaining that these devices remain investigational and not covered for postoperative treatment following endoscopic sinus surgery and recurrent sinonasal polyposis. The policy clarifies device definitions and investigational status.

Action Required

Action needed
Immediately: Billing team must verify that steroid-eluting sinus stents (PROPEL, SINUVA) are not being billed to BCBS Mississippi as covered services. Flag CPT 31299, HCPCS J7401, and C9122 in billing system as investigational/non-covered for this payer. Advise providers that these devices require patient financial responsibility discussions prior to use.

Affected Billing Codes

31299
J7401
C9122