Learn How to Report Pessary Device Supply
Question: A 68-year-old patient with stage 3 apical pelvic organ prolapse presented with pelvic pressure and difficulty emptying their bladder. The gynecologist evaluated the prolapse, reviewed the management options, and fit a Gellhorn pessary to support the uterus. I asked the physician, and they explained that the pessary is made of medical-grade silicone. What HCPCS Level II code should I use to report the pessary supply? Pennsylvania Subscriber Answer: Assign A4562 (Pessary, reusable, non rubber, any type) to report the Gellhorn pessary supply. As you stated, the pessary is made of silicone, which is not a rubber material. A pessary is a medical device that a physician inserts into the vagina to support the pelvic organs. The device can immediately provide relief from prolapse symptoms, such as urinary incontinence, discomfort, and bowel movement difficulties. Mike Shaughnessy, BA, CPC, Production Editor, AAPC
