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Functional Endoscopic Sinus Surgery (FESS)

Functional Endoscopic Sinus Surgery ( fess ) Page 1 of 12 UnitedHealthcare Commercial and Individual Exchange Medical Policy Effective 08/01/2023 Proprietary Information of UnitedHealthcare. Copyright 2023 United HealthCare Services, Inc. UnitedHealthcare Commercial and Individual Exchange Medical Policy Functional Endoscopic Sinus Surgery ( fess ) Policy Number: 2023T0578N Effective Date: August 1, 2023 Instructions for Use Table of Contents Page Application .. 1 Coverage Rationale .. 1 Documentation Requirements .. 2 Definitions .. 3 Applicable Codes .. 3 Description of Services .. 4 Clinical Evidence .. 4 Food and Drug Administration .. 10 References .. 10 Policy History/Revision Information .. 12 Instructions for Use .. 12 Application UnitedHealthcare Commercial This Medical Policy applies to all UnitedHealthcare Commercial benefit plans. UnitedHealthcare Individual Exchange This Medical Policy applies to Individual Exchange benefit plans in all states except for Colorado, Massachusetts, Nevada, and New York.

Functional Endoscopic Sinus Surgery (FESS ): FESS is a minimally invasvie, mucosal- sparing surgical technique utilized to treat medically refractory CRS with or without polyps or recurrent acute rhinos inusitis. Modified Lund -Mackay Scoring System : A tool used to quantify the severity of Chronic Rhinosinusitis based on computed

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  Functional, Surgery, Endoscopic, Sinus, Functional endoscopic sinus surgery, Fess

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