Wiki Vaginal Monarch Sling Operation for Female Urinary Incontinence

[dmd28]

I need some advice regarding this code. Although the Sling Operation is coded 57288 and I was advised that the sling device is carved out for this particular payer I am currently working on, however, I am wondering if it is appropriate to code C1771 also if it is not carved out? This an ASC setting. Thank You in advance for your advice.

Dawn

 

[mbort]

yes absolutely

 

[juanitamendoza]

It is proper to bill this code for the sling. However, payment will ultimately depend on your contract, which I assume you have since you mentioned a carveout. You would not bill this to Medicare since the payment indicator is "N1" which indicates a packaged service. Thanks.