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
This is a reissued policy (effective 04/02/2025) governing balloon catheter dilation of sinus ostia for treatment of chronic rhinosinusitis or recurrent acute rhinosinusitis. The billing team must review the full policy text to identify any changes from the previous version and update coverage, prior authorization, and billing requirements accordingly for Medicare Advantage plans.
Action Required
By April 2, 2025: Billing and clinical teams must obtain and review the complete MA11.100f policy document from the source URL to identify specific coverage criteria, prior authorization requirements, and any coding changes. Update billing system rules, prior authorization workflows, and provider encounter documentation templates based on policy requirements. Verify that all balloon catheter dilation claims for sinus procedures comply with the reissued policy terms to avoid denials.