Reimbursement / Urology and Pelvic Health  


Boston Scientific annually updates and provides procedural coding and reimbursement information for inpatient, outpatient, office, and ASC settings. Click on our guides to easily look up CPT codes, ICD-10 codes, physician RVUs, and Medicare national average reimbursement rates for stone, prostate health, prosthetic urology, and women's health.
TIP: Use “Crtl+F” to search procedures, conditions, or codes within the guide (e.g., ureteroscopy, urinary incontinence, erectile dysfunction, cystourethroscopy, and hysteroscopy.)

Coding and Payment Guides


Stone Management

Last update: January 2020

Prostate Health

Last update: July 2020

Prosthetic Urology

Last update: February 2021

Women’s Health

Last update: February 2021

Benefit Verification and Pre-Authorization


Prosthetic Urology

Last update: January 2020
Benefit Verification and Medical Necessity Guide for Prosthetic Urology
A step-by-step guide to benefit verification and pre-authorization for penile prosthesis and male incontinence device implants.
Boston Scientific Prosthetic Urology Procedure Access Program Brochure
View our brochure on Boston Scientific's prosthetic urology procedure access program to assist with benefit verification and pre-authorization.
Penile Prosthesis Benefit Verification Form
Use this form to request benefit verification for AMS 700TM, AMS AmbicorTM, SpectraTM, or TactraTM penile prosthesis.
Male Continence Benefit Verification Request Form
Use this form to request benefit verification for AdVanceTM male sling system or AMS 800TM urinary control system
Patient Procedure Access Brochure for Prosthetic Urology
A brochure to share with your patients on how to understand their coverage for penile prosthesis and/or a male incontinence device.

Prostate Health

Last update: January 2020
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Find additional information on reimbursement, including summaries of CMS's annual rule updates for IPPS and OPPS