Did UrgePC get a Reimbursement Code effective 2011?

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Uroplasty announced CMS published anticipated Category I CPT code for Posterior Tibial Nerve Stimulation (UPI) 4.41 : Co announced that the Centers for Medicare and Medicaid Services (CMS) has published, in the November, 2010 Federal Register, the anticipated Category I CPT code for Posterior Tibial Nerve Stimulation (PTNS). Uroplasty's Urgent PC Neuromodulation System is used to provide PTNS and effective January 1, 2011, this procedure will now be billed under the new CPT code 64566, with the descriptor "Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming." The publication also indicated that the "relative value units" (RVUs) assigned to the new CPT code for PTNS will be 3.82... Based upon the newly published CF of $25.52 per RVU, which is also in this edition of the Federal Register, the base Medicare physician payment for PTNS will be ~$97.49 per procedure. The CF may vary throughout 2011 as a result of Congressional action or CMS rule changes. Furthermore, the Company anticipates private-pay insurance companies, as is typically the case, to reimburse a higher amount.
 












Anonymous said:
With $97 reimbursement someone should tell Mahedi that only a dumb ass would keep raising the price of lead sets
Click to expand...

Are you saying that physicians wouldn't be THRILLED with making $32.00 per patient per treatment? It is ONLY a thirty-minute procedure. I am SURE that the physician would NOT make more money doing another procedure or TWO during that time period. I think that they only get paid $1200. - $1500. per Interstim test lead procedure that only takes 20 minutes. I am SURE that the physician will "do what's right for the patient" and use a less profitable, more office-time consuming, less invasive with a "six-week efficacy/respond time-period" and "not permanent" procedure.There isn't even a guranttee that payment will be received due to non-Medicare coverage. A code and an approved RVU does not = payment. The company does not have managed care in place already calling on the Medicare providers.
 






You need to careful read and dissect the company's press releases before you believe anything. The best way to find out about coverage is by going straight to the source - the managed care company / medicare provider.
You should NOT be surprised that the press releases have a spin to them.
 






Does anyone know why the Mayo Clinic in the Jacksonville , Fla. Area only has one physician to implant the Interstim ? How did Dr. Pettit wind up with a monopoly on this ? Medtronic never learns. Changing the way you pay "kickbacks" does not change the fact that they are kickbacks. I meant to say compensation for the doctors...oops...lol. By the way what's the word on the Interstim leads lately ?
 






























one of my best macroplastique customers laughed at me when I discussed net medicare reimbursement for UPC. Laughed in my face. Said he has better uses of his staff's time.

MF'er!
 












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