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Drugs Used in Upper Respiratory Disorders: Overview

Upper respiratory tract disorders, including viral infections and allergic rhinitis, cause significant discomfort and disrupt daily life. Managing these conditions involves a variety of drugs, such as antihistamines, intranasal steroids, decongestants, antitussives, expectorants, and mucolytics. Specific examples of drugs in each category are provided.
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Related Experiment Video

Updated: May 9, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
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Trends in Medicare Office-Based Procedures for Chronic Rhinitis and Nasal Obstruction.

Seth S Jeong1, Mark Arnold1

  • 1Department of Otolaryngology SUNY Upstate Medical University Syracuse New York USA.

OTO Open
|May 8, 2026
PubMed
Summary

Minimally invasive office-based nasal procedures, particularly posterior nasal nerve (PNN) ablation, saw significant growth from 2017-2023. This trend highlights increased adoption of new technologies for chronic rhinitis and nasal obstruction.

Keywords:
Medicarechronic rhinitisnasal obstructionoffice‐based proceduresposterior nasal nerve

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Area of Science:

  • Otolaryngology
  • Health Services Research
  • Medical Economics

Background:

  • Chronic rhinitis and nasal obstruction significantly impact quality of life.
  • Minimally invasive office-based procedures offer alternatives to traditional surgical interventions.
  • Posterior nasal nerve (PNN) ablation and nasal valve repair are key interventions.

Purpose of the Study:

  • To analyze national trends in Medicare office-based procedures for chronic rhinitis and nasal obstruction.
  • To focus on the adoption of minimally invasive techniques like PNN ablation and radiofrequency nasal valve repair.
  • To evaluate procedural volume, Medicare payments, and provider adoption patterns from 2017 to 2023.

Main Methods:

  • Retrospective longitudinal analysis of Medicare physician and provider utilization data (2017-2023).
  • Analysis of Current Procedural Terminology (CPT) codes: 30117 (surrogate for PNN ablation/nasal valve repair), 30140, 31295, and 30802.
  • Evaluation of annual service counts, beneficiaries, payments, spending, provider adoption, and geographic distribution using linear regression.

Main Results:

  • CPT 30117 (PNN ablation/nasal valve repair) demonstrated substantial growth: 1009 to 11,409 services (49.8% CAGR) with spending increasing by 1139%.
  • Other procedures showed varied trends: CPT 30140 increased (10.3% CAGR), CPT 31295 slightly declined (-1.9% CAGR), and CPT 30802 declined (-7.2% CAGR).
  • Significant Medicare payments and spending increases were observed for CPT 30117 and CPT 31295, with concentrated utilization in Texas, Florida, and Arizona.

Conclusions:

  • Rapid in-office adoption of CPT 30117 signifies a shift towards new PNN ablation and nasal airway remodeling devices.
  • These trends necessitate further evidence development and may be clarified by upcoming device-specific coding.
  • The findings underscore the growing importance of minimally invasive, office-based solutions for nasal conditions.