Macroplastique® Prior Authorization or Pre-determination of Benefits

coder-billerMost payers cover urethral bulking agents. Cogentix Medical recommends verifying the need for a prior authorization/pre-determination of benefits before treatment commences. When requesting a prior authorization/pre-determination, please confirm the diagnosis codes and CPT code are the most appropriate. Incorrect diagnosis and CPT codes can be a reason for denial.

Cogentix Medical has compiled this coding information for your convenience. This information is gathered from third-party sources and is subject to change without notice. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice. It is always the provider’s responsibility to determine medical necessity and submit appropriate codes, modifiers, and charges for services rendered. Please contact your local carrier/payer for interpretation of coding and coverage. Cogentix Medical does not promote the use of its products outside their FDA cleared or approved labeling.