Does S2342 require prior authorization?

No, S2342 does not require prior authorization (high confidence). Covered without prior authorization.

What is the Medicare reimbursement rate for S2342?

Medicare facility rate: N/A. Non-facility rate: N/A. Work RVU: 0.00.

HCPCS/CPT

No Prior Auth Required

Covered without prior authorization (high confidence)

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

Chronic sinusitis (for example, greater than 12 weeks duration) that interferes with lifestyle;and
Functional endoscopic sinus surgery (FESS) is consideredmedically necessarywhenany oneof the following circumstances is present:
Suspected tumor seen on imaging, physical examination, or endoscopy;or
Suppurative (pus forming) complications, including but are not limited to:Subperiosteal abscess;orBrain abscess;or
Subperiosteal abscess;or
Brain abscess;or