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Posted under Septoplasty q&a

Insurance coverage of septal perforation repair for out of network surgeon - best CPT and ICD-10 codes to result in coverage?

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I have a consultation with a nationally renowned surgeon who specializes in septal perforation repair. He does not accept insurance and is out of network, and he charges up to $30,000 for the surgery. I want to convince my insurance company (United Healthcare) to cover part of the cost. Does anyone know which CPT and ICD-10 codes are most likely to result in insurance coverage? I am in Texas. Any advice would be much appreciated. Thank you!

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Dr. Sandy Sule, MD
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Dr. Michael Elam, MD (retired)
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