Medicare AdvantageCoverageMedium impact
MA11.100f, Balloon Catheter Dilation of Sinus Ostia for Treatment of Chronic Rhinosinusitis or Recurrent Acute Rhinosinusitis
Independence Blue Cross·ENT (Ear, Nose & Throat)·Medical Policy
Effective date
Apr 2, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.100f regarding balloon catheter dilation of sinus ostia for chronic or recurrent acute rhinosinusitis has been reissued with an effective date of April 2, 2025. This is a recent policy update that may affect coverage criteria or billing requirements for sinus procedures.
Action Required
By April 2, 2025: Billing team and ENT providers should review the updated MA11.100f policy for balloon catheter dilation of sinus ostia procedures. Verify current coverage criteria and billing requirements for Medicare Advantage plans. Update any prior authorization workflows or documentation requirements as specified in the full policy.