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: March 2021
 

Prostate Health

Last update: March 2021
 

Office Based Procedures

Last update: March 2021
 

Prosthetic Urology

Last update: February 2021
 

Women’s Health

Last update: February 2021

Benefit Verification and Pre-Authorization

 
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Need benefit verification or pre-authorization support?

Submit and track your cases via Boston Scientific’s convenient, easy to use benefit verification and pre-authorization online portal.

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.
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.
 
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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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