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Get the Reimbursement Urgent® PC Macroplastique® General Questions Disclaimer: Uroplasty assembled this coding 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. Uroplasty Product ReimbursementFrequently Asked Questions Q. Are insurance companies reimbursing for the use of neuromodulation for treating overactive bladder symptoms (urinary urgency, urinary frequency and urge incontinence) and/or a bulking agent for the treatment of stress urinary incontinence? A. Both 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 neuromodulation for urinary urgency, urinary frequency and urge incontinence and/or a bulking agent for the treatment of stress urinary incontinence? A. Both treatments may be covered by Medicare on a case by case basis as long as the procedure(s) is “medically necessary.” Contact your local carrier for coding, payment and coverage information. Q. What is a CPT® code? Q. What is a HCPCS code? Q. What are the codes for neuromodulation? Q. What are the codes for bulking agents?
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