Question:
We are thinking of providing Renessa as a treatment option for stress urinary incontinence. How should we report this service, and will we get paid?Ohio Subscriber
Answer:
The CPT code for the Renessa procedure is 53860 (
Transurethral, radiofrequency microremodeling of the female bladder neck and proximal urethra for stress urinary incontinence). In 2011, CPT deleted Category III code 0193T, replacing it with the new Category I code 53860 with the same descriptor.
The catch:
Many payers, including some Medicare MACs, do not pay for this service as they still consider it experimental.
Best bet:
Check with the payer you will be billing before performing this procedure. Find out if they cover it at all, and if they do, what they will reimburse for a Renessa procedure.