Transcription of Functional Endoscopic Sinus Surgery (FESS)
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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.
The examinations performed were quality of life (QOL), Sino -Nasal Outcome Test -20 (SNOT -20) UnitedHealthcare Commercial Medical Policy Effective 11/01/2021 UnitedHealthcare
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