Septoplasty corrects defects or deformities of the nasal septum by altering, splinting, or removing obstructive supporting structures. Septoplasty is often performed as a stand-alone surgery to restore function and improve airflow through the breathing passages.

Septoplasty is only covered in the presence of a septal/nasal deformity. Claims submitted for septoplasty CPT^? code 30520 to treat a septal/nasal deformity must include a primary ICD-10 diagnosis code that represents such a deformity. Claims for conditions such as sinusitis, rhinitis, or epistaxis submitted without a septal/nasal deformity diagnosis code will not be covered.

To learn more, review Medical Policy #11.16.01h: Septoplasty, Rhinoplasty, and Septorhinoplasty, which was posted as a Notification on July 12, 2017, and will become effective on October 10, 2017.

To view the Notifications for these policies, visit our Medical Policy Portal and select Accept and Go to Medical Policy Online. Then select Commercial under Active Notifications.

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