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Urology Coding Alert

You Be the Coder:

Report Coaptite® Injections Regardless of Gender

Published on Wed Apr 11, 2012

Question: We have a male patient that our doctor would like to inject with Coaptite® because of stress incontinence following a radical prostatectomy. The literature states that it is for use in adult females, but the rep from Boston Scientific states he has a urologist doing them on males and getting paid. The patient has Medicare insurance coverage. Can we report this procedure to Medicare for a male patient, and if so, how?Wisconsin SubscriberAnswer: You can report this procedure for either male or female patients. You would use CPT® code 51715 (Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck) regardless of the patient's gender. Don't miss: For the implant material you should also report HCPCS code L8606 (Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies) times the number of syringes used to the local payer who is reimbursing for [...]
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