BlueCross BlueShield of Tennessee Medical Policy Manual

Respiratory

• Abbreviated Daytime Sleep Study (e.g. PAP-NAP)

• Absorbable Nasal Implant for the Treatment of Nasal Valve Collapse

• Actigraphy

• Balloon and Self-Expanding Absorptive Ostial Dilation for Treatment of Rhinosinusitis

• Continuous Home Pulse Oximetry

• Cryosurgical Ablation of Solid Tumors

• Home Apnea Monitoring / Home Cardiorespiratory Monitoring

• Home Spirometry

• Implantable Hypoglossal Nerve Stimulation

• Intensity-Modulated Radiotherapy (IMRT) of the Breast and Lung

• Laser Assisted Uvulopalatoplasty (LAUP)

• Measurement of Exhaled Nitric Oxide and Exhaled Breath Condensate in the Diagnosis and Management of Asthma and Other Respiratory Disorders

• Non-invasive Positive Pressure Ventilators (In-Home Use)

• Oscillating Devices for the Treatment of Respiratory Conditions

• Palatal Implants for the Treatment of Obstructive Sleep Apnea or Snoring

• Radiofrequency Tissue Volume Reduction (RFTVR) for the Treatment of Upper Airway Obstruction

• Rhinomanometry and Acoustic Rhinometry
• Steroid-Eluting and Non-Steroid-Eluting Sinus Stents

This document has been classified as public information.