INSURANCE COVERAGE

Incontinence therapies are well covered by most insurance plans.  They are performed in my clinic or at an outpatient surgery center in a procedure room or operating room.  Conveniently, my clinic is attached to the surgery center in the same building on the same floor. The team is very familiar with all of these therapies.  Insurance approvals are performed by my team, but a list of CPT codes are listed below if you want to check for coverage with your insurance plan.

SUI Therapy

• Bulkamid Urethral Injection Procedure Code: 51715
• Urethral Sling Surgical Code: 57288

OAB Therapy

• Botox Bladder Injection Procedure Code: 52287
• Percutaneous Tibial Nerve Stimulation Treatment Code: 64566
• Sacral Neuromodulation Implants
  • • PNE Procedure Code: 64561
    • Stage 1 Lead Surgical Code: 64581
    • Stage 2 Battery Surgical Code: 64590
    • Full Implant (Lead& Battery) Surgical Codes: 64581& 64590

FI Therapy

• Sacral Neuromodulation Implants
  • • PNE Procedure Code: 64561
    • Stage 1 Lead Surgical Code: 64581
    • Stage 2 Battery Surgical Code: 64590
    • Full Implant (Lead& Battery) Surgical Codes: 64581& 64590