Preoperative CT Was Missing in 15% of Balloon Sinus Dilations — Medicare Claims Reveal a Clinically Significant Practice Gap

Highlights

• In a Medicare claims analysis (Jan 1, 2022–Dec 31, 2023), 19,692 patients underwent balloon sinus dilation (BSD); 15% (2,905) lacked a documented preprocedure CT within one year.

• Of 490 otolaryngologists included, 156 (31.8%) were identified as outliers performing BSD without a recent CT in >10% of their cases; 30 physicians accounted for >50% of missed CTs.

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