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May 2004 · Vol. 16, No. 5

REIMBURSEMENT ADVISER

How to code a new incontinence procedure

Melanie  Witt,  RN, CPC, MA

Q

Our physicians have started performing a procedure called the SURx radio frequency bladder neck suspension. The device manufacturer has recommended using either 57288 (sling operation for stress incontinence [eg, fascia or synthetic]) or 57284 (paravaginal defect repair [including repair of cystocele, stress urinary incontinence, and/or complete vaginal prolapse]), but this procedure doesn’t seem to fit either description. Do you have other suggestions?

A

The radio frequency bladder neck suspension procedure is based on a device from SURx, Inc (Livermore, Calif). According to the company, their instrument restores continence by using low-power radio frequency energy to heat and shrink stretched tissue near the bladder and urethra. No sutures are used to suspend the bladder neck. The procedure can be done either transvaginally or laparoscopically.

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