Medical Necessity And Uvulopalatopharyngoplasty

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Obstructive Sleep Apnea in Adults - Medical Clinical …

https://www.aetna.com/cpb/medical/data/1_99/0004.html

Medical Necessity. Diagnosis. Aetna considers the following tests medically necessary for diagnosing obstructive sleep apnea (OSA) in adults aged 18 years and older when criteria are met: ... Uvulopalatopharyngoplasty (UPPP) and UPPP are the most common …

Medical Necessity Guidelines: …

https://tuftshealthplan.com/documents/providers/guidelines/medical-necessity-guidelines/uppp-osa

Medical Necessity Guidelines annually, or more frequently if new evidence becomes available that suggests needed revisions. For self-insured plans, coverage may …

Obstructive and Central Sleep Apnea Treatment – …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/obstructive-sleep-apnea-treatment.pdf

For medical necessity clinical coverage criteria, refer to the InterQual ® Client Defined, CP: Procedures: Mandibular Osteotomy (Custom) -UHG Maxillomandibular Osteotomy and …

Uvulopalatopharyngoplasty (UPPP) : MedlinePlus …

https://medlineplus.gov/ency/article/007663.htm

Uvulopalatopharyngoplasty (UPPP) Uvulopalatopharyngoplasty (UPPP) is surgery to open the upper airways by taking out extra tissue in the throat. It may be done alone to …

Uvulopalatopharyngoplasty (UPPP) | Stanford Health …

https://stanfordhealthcare.org/medical-treatments/p/palate-surgery/types/uppp.html

Uvulopalatopharyngoplasty (UPPP) The surgery consists of tissue rearrangement at the uvula, palate and throat walls in order to increase the airway size and decrease tissue collapse. Initially described several …

SURG.00129 Oral, Pharyngeal and Maxillofacial Surgical …

https://www.anthem.com/dam/medpolicies/abcbs/active/policies/mp_pw_a050503.html

Uvulopalatopharyngoplasty (UPPP): Uvulopalatopharyngoplasty (UPPP) ... The medical necessity criteria for non-surgical treatments (CPAP) and for surgical …

Uvulopalatopharyngoplasty - What You Need to Know

https://www.drugs.com/cg/uvulopalatopharyngoplasty.html

Uvulopalatopharyngoplasty (UPPP) is surgery to remove part or all of your uvula, soft palate, pharynx, or tonsils. Your soft palate is the back of the roof of your mouth. The uvula is the small piece of flesh …

Medical Necessity Criteria and Clinical Review Guidelines

https://www.medmutual.com/For-Providers/Medical-Necessity-Criteria-and-Clinical-Review-Guidelines

Medical Necessity Criteria and Clinical Review Guidelines. Care Management uses nationally recognized and accepted utilization management criteria, as well as internally …

Uvulopalatopharyngoplasty | Iowa Head and Neck …

https://medicine.uiowa.edu/iowaprotocols/uvulopalatopharyngoplasty

Review of patient's medical history and degree of cardiac or pulmonary disease as a result of OSA. Nasopharyngoscopy with Mueller maneuver to identify the level and degree of …

How Painful Is UPPP Surgery? - MedicineNet

https://www.medicinenet.com/how_painful_is_uppp_surgery/article.htm

Uvulopalatopharyngoplasty (UPPP) is currently the most common surgery performed for obstructive sleep apnea (OSA) or snoring in the United States. It is performed only if …

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