`S1090` Mometasone sinus implant

Mometasone furoate sinus implant, 370 micrograms

Medicare coverage: Not payable by Medicare
Status: terminated 20190930

Payer policies and prior authorization for S1090

Payer coverage policies that name S1090

S1090 appears in 1 coverage policy from BlueCross BlueShield of South Carolina.

Payer	Policy	Role in policy	Reviewed	Document
BlueCross BlueShield of South Carolina	Steroid-Eluting Sinus Stents and Implants (CAM 701134)	listed, no stance	Aug 1, 2026	payer document

Medicaid fee-for-service

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.

S1090 Mometasone sinus implant

Payer policies and prior authorization for S1090

Payer coverage policies that name S1090

Medicaid fee-for-service

`S1090` Mometasone sinus implant