Reimbursement / Urology and Pelvic Health  

Urology

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: January 2020
 

Prosthetic Urology

Last update: January 2020
 

Women’s Health

Last update: January 2020

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.
neuromodulation
Use this form to request benefit verification for AMS 700TM, AMS AmbicorTM, or SpectraTM penile prosthesis.
neuromodulation
Use this form to request benefit verification for AdVanceTM male sling system or AMS 800TM urinary control system
neuromodulation
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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resources

Resources

Find additional information on reimbursement, including summaries of CMS's annual rule updates for IPPS and OPPS

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