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General Questions
Uroplasty Reimbursement Group
5420 Feltl Road
Minnetonka, MN 55343
Tel: 866.258.2182
Fax: 866.344.0219
reimbursement@uroplasty.com

Disclaimer: Uroplasty assembled this coding, coverage and payment information as a convenient reference source. It is subject to change without notice as a result of changes in reimbursement laws, regulations and policies. This content is informational only and does not address all possible situations. No guarantee or promise of coverage or payment is represented herein. Providers assume full responsibility for accurate coding and reimbursement decisions and actions. All procedures and services should be accurately documented in the patient’s medical record. Please consult your payer organization if you have questions regarding its specific reimbursement guidelines.

Macroplastique® Reimbursement

Frequently Asked Questions

Q. Are insurance companies reimbursing for the use of a bulking agent for the treatment of stress urinary incontinence?

A. Bulking agent treatments are covered by many insurance carriers. As with many therapies, it is recommended that you get approval from the patient’s insurance company before treatment.

Q. Does Medicare cover a bulking agent for the treatment of stress urinary incontinence?

A. Bulking agent treatments may be covered by Medicare as long as the procedure is “medically necessary.” Contact your local carrier for coding, payment and coverage information.

Q. What is a CPT® code?
A. CPT® code is a listing of descriptive terms and identifying numbers for reporting medical services and procedures performed by physicians. CPT is the acronym for Current Procedural Terminology.

Q. What is a HCPCS code?
A. HCPCS is a uniform method for health care providers and medical suppliers to report professional services, procedures, and supplies. HCPCS is the acronym for Healthcare Common Procedure Coding System.


 

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