Tonsillectomy Medical Policy

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CG-SURG-113 Tonsillectomy with or without …

https://www.anthem.com/dam/medpolicies/abcbs/active/guidelines/gl_pw_e001257.html

Tonsillectomy completely removes the tonsil, including its capsule, by dissecting the peritonsillar space between the tonsil capsule and the muscular wall. It may be performed with or without adenoidectomy. The most common indication for …

Tonsillectomy - Mayo Clinic

https://www.mayoclinic.org/tests-procedures/tonsillectomy/about/pac-20395141

Tonsillectomy | AAFP - American Academy of Family …

https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/tonsil.html

Caregivers should be counseled about tonsillectomy as a means to improve health in children with abnormal polysomnography who also have tonsil hypertrophy and …

Tonsillectomy: Procedure Details and Recovery

https://my.clevelandclinic.org/health/treatments/15605-tonsillectomy

A tonsillectomy is a surgical procedure that removes inflamed, infected or problematic tonsils. What is a tonsillectomy? Tonsillectomy (pronounced “tahn-suh-LEK-tuh-me”) refers to the surgical removal of your tonsils. …

Coblation - Medical Clinical Policy Bulletins | Aetna

https://www.aetna.com/cpb/medical/data/400_499/0475.html

Policy Applicable CPT / HCPCS / ICD-10 Codes Background References Policy Aetna considers Coblation tonsillectomy medical necessary for the treatment of any of the …

Current Indications for Tonsillectomy and Adenoidectomy

https://www.jabfm.org/content/33/6/1025

Tonsillectomy and adenoidectomy have demonstrated benefit for a number of conditions described above. The AAOHNS guidelines more strongly recommend surgery more …

CG-SURG-30 Tonsillectomy for Children with or without …

https://www.anthem.com/dam/medpolicies/abcbs/active/guidelines/gl_pw_c148461.html

Clinicians may recommend tonsillectomy for recurrent throat infection with a frequency of at least 7 episodes in the past year, at least 5 episodes per year …

Geisinger Health Plan Policies and Procedure Manual

https://www.geisinger.org/-/media/OneGeisinger/Files/Policy-PDFs/MP/251-300/MP285-Tonsillectomy.pdf?la=en

Tonsillectomy may be considered medically necessary for the one or more of the following indications when criteria are met: 1. Medical record documentation of frequent episodes …

Clinical Practice Guideline: Tonsillectomy in Children …

https://pubmed.ncbi.nlm.nih.gov/30798778/

Tonsillectomy is one of the most common surgical procedures in the United States, with 289,000 ambulatory procedures performed annually in children <15 years of age based …

Medical Policy Prior Authorization Criteria: Tonsillectomy ...

https://www.connecticare.com/content/dam/connecticare/pdfs/providers/our-policies/medical/commercial/Tonsillectomy-Adenoidectomy.pdf

Requests will be considered using Milliman Clinical Care Guidelines (MCGs). Guidelines are developed using publications that have been assessed in terms of quality, utility, and …

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