How to Obtain Insurance Coverage for Septoplasty

Do you ever feel as if you’re having trouble breathing? Do you have a habit of snoring at night? A deviated septum can cause all of these problems. Sleep apnea, snoring, and limited breathing can all be caused by a crooked nasal septum, which splits your nasal passageways.

This ailment, as well as a variety of other inner nasal difficulties, can be helped with a septoplasty. It has the ability to change the “inner workings” of your nose, making breathing easier.

Dr. Kevin Sadati is a highly acclaimed and board-certified plastic surgeon in Orange County. He is not just a facial plastic surgeon but also an ENT (ear, nose, and throat) specialist, giving him a unique mix of skills.

In addition to being a skilled sculptor and painter, Dr. Sadati has vast surgical and medical experience. He is a recognized expert in rhinoplasty and septoplasty surgeries, which can be combined in some situations. Dr. Sadati has provided some helpful information on septoplasty surgery and how he may assist you if you are having breathing problems.

What is a septoplasty?

This is essentially a nasal surgical procedure for women and men in the Orange County area who have breathing problems. Septoplasty is a procedure that is used to alleviate nasal blockage caused by a deviated septum or for those who were born with larger nasal bone formations.

It can also be used to remove nasal polyps and growths, as well as to help patients with sinusitis symptoms and nose bleeds.

This operation can benefit patients with a variety of nasal disorders or health concerns, and it is sometimes paired with a rhinoplasty procedure to offer them a new nose on the inside and out.

A necessary surgical combo

The appearance of the nose will not be altered by a septoplasty. A septoplasty is just a procedure that corrects any internal problems that are preventing appropriate breathing. It will not straighten up or correct any cosmetic flaws in the outer section of the nose.

After a comprehensive assessment by a trained, board-certified plastic surgeon like Dr. Sadati, it may be concluded that a patient requires a septorhinoplasty to address both internal and exterior concerns. This procedure entails adjusting a patient’s deviated septum as well as straightening their nasal bones if they are crooked and obstructing good ventilation.

The good news is this allows patients one procedure and one recovery period from both which is typically why some patients elect to have their nose fixed internally and have a little cosmetic work on the outside at the same time even if not medically necessary.

  • When any of the following clinical conditions is satisfied, consider septoplasty to be medically necessary:
  • Asymptomatic septal deformity that prevents access to other intranasal areas when such access is required to perform medically necessary surgical procedures (e.g., ethmoidectomy); or asymptomatic septal deformity that prevents access to other intranasal areas when such access is required to perform medically necessary surgical procedures (e.g., ethmoidectomy); or
  • Recurrent sinusitis that is thought to be caused by a deviated septum and is not cured by medical and antimicrobial treatment; or
  • or epistaxis (nosebleeds) on a regular basis due to a septal deformity.
  • Septal deviation leading to persistent nasal airway blockage resulting in nasal breathing trouble that does not respond to 4 weeks of proper medical treatment; or
  • When used for the correction of a cleft palate,
  • Extracorporeal septoplasty is considered medically necessary for the initial treatment of a severely deviated nasal septum that cannot be effectively fixed with an intranasal technique.

It considers septoplasty experimental and investigational for all other indications (e.g., allergic rhinitis) because its effectiveness other than the ones listed above has not been established.

Who is a candidate for Septoplasty?

A septoplasty procedure can help you breathe more easily. Commonly done for individuals dealing with a deviated septum, there are other medical issues with the nose that can cause breathing problems. A septoplasty procedure is typically performed for individuals who have the following:

  • Deviated septum or crooked nasal septum.
  • Nasal valve insufficiency so the nose doesn’t properly open and close when breathing.
  • Consistent snoring or sleep apnea symptoms at night.
  • Chronic or consistent nosebleeds.
  • Nasal polyps or growths which can impede proper breathing.
  • Oversized turbinates which are the inner structures that help keep the nose moist when breathing.

Recovery and results

A septoplasty treatment is usually performed under general anesthesia with dissolvable sutures. Finding a qualified, experienced plastic surgeon in the Orange County area, like Dr. Sadati, who specializes in facial cosmetic treatments like septoplasty or rhinoplasty, can ensure the greatest outcomes.

Because the nose is such a small and delicate target area, you’ll want to work with a trained and board-certified plastic surgeon, such as Dr. Sadati, who is also an ENT specialist, to achieve the finest surgical outcomes.

Most patients return to work in the second week after surgery, and their breathing usually improves after the first week. This will get better as the swelling goes down in the days and months ahead.

Covered by insurance

Septoplasty is one of the few cosmetic treatments that, like breast reduction, may be regarded as a medical necessity, thus many insurance companies may cover it.

In most circumstances, if a patient has rhinoplasty and septoplasty at the same time, the septoplasty component can be covered, leaving the patient to worry solely about the additional cosmetic cost unless the plastic surgeon deems it medically necessary.

Prior to the treatment, consulting with an experienced cosmetic surgeon, such as Dr. Sadati, may assist establish exactly what has to be done and what will be reimbursed by insurance.

When people have trouble breathing properly, a septopl asty treatment can be life-changing.

A septoplasty with an expert like Dr. Sadati can help you breathe better and feel better, whether you have a deviated septum or need a turbinate reduction. In most situations, this low-risk operation provides patients with a long-term solution that allows them to breathe freely once more.

Dr. Kevin Sadati is one of the most highly respected facial plastic surgeons in the Orange County/LA area, having been voted “Best Cosmetic Surgeon” in Orange County and has over a decade of experience in facial and reconstructive plastic surgery.

If you’re having trouble breathing, contact us right away to schedule a septoplasty consultation. Allow Dr. Sadati to assist you in breathing more easily and feeling more like yourself.

What Other Problems Does A Deviated Septum Cause?

People have lots of questions about the effects of a deviated septum, so…

  • Can deviated septum cause a runny nose? Yes—it can cause a runny nose as well as postnasal drip which are both common symptoms of a deviated septum. Deviated septums also tend to cause stuffy noses and difficulty breathing
  • Can deviated septum cause nosebleeds? Yes; when the surface of the nasal septum becomes dry, it can lead to nosebleeds
  • Can a deviated septum cause clogged ears?  Deviated septums can lead to ear fullness and negatively impact middle ear ventilation
  • Does deviated septum cause bad breath? It can! Especially if your breathing patterns are impacted where you are constantly mouth breathing
  • Can a deviated septum cause headaches? Yes usually one sided
  • Does a deviated septum cause snoring? Oftentimes, yes. It’s common for deviated septums to cause snoring. Many people experience loud breathing and snoring while they sleep with a deviated septum; but remember, just because you don’t snore, it doesn’t mean you don’t have a deviated septum

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