Septoplasty
It is considered medically necessary when any of the following clinical conditions is present:
• Asymptomatic deformity of the nasal septum which limits the intranasal access when such access is necessary to perform a medically necessary surgical procedure (for example, edmoidectomy); or
• Recurrent sinusitis documented as secondary to deviated nasal septal when there is no clinical response to medications and/or antibiotic-therapy; or
• Recurrent epistaxis related to deformity of the nasal septum; or
• Septal deviation causing continuous nasal obstruction resulting in shortness of breath which does not respond to proper medical treatment; or
• When it is performed with the repair of a cleft lip.
Triple-S Salud does not consider Septoplasty for payment for any other indication (e.g. allergic rhinitis) because its effectiveness in other situations not included previously have not proved to be effective.
