|This message contains images. If you don't see images, click here to view.|
Advertise in this news brief.
Coding for Sacral Neuromodulation — Tips from the AUGS Coding & Reimbursement Subcommittee
Coding for Sacral Neuromodulation (SNS) need not be challenging. The essence of this coding is simple: SNS is approved for use in urinary frequency and urgency (788.31 and 788.41), retention (788.20, 788.21 and 788.29) and fecal incontinence (787.60). Typically the procedure is divided into a test phase (which is coded either as CPT code 64561 if done without fluoroscopy and with a test lead, or CPT codes 64581 and 76000-26 if done with fluoroscopy guidance and a permanent lead) and the generator implant (CPT code 64590). Removal is coded by the components removed (CPT codes 64585 for removal of the electrodes, and 64595 for removal of the generator), although the Implant code covers the replacement of a generator.
Outpatient coding for programming is similarly simple. Codes for simple (i.e., 3 parameters or fewer) or complex (more than 3 parameters) are available, as well as a code for accessing the device without reprogramming (CPT 95971, 95972 and 95970, respectively). The global period for the lead implant is 90 days. This means the generator implant should be coded with the "staged procedure" modifier. AUGS provides an educational one pager on the codes for this common FPMRS procedure on our website here.
Advance registration for the AUGS/IUGA 2014 Scientific Meeting ends June 30!
Attend the AUGS-IUGA 2014 Scientific Meeting and join the largest venue for those in the field of urogynecology and Female Pelvic Medicine and Reconstructive Surgery to come together for education, networking and sharing.
Check out the latest information on Workshops and Roundtable Breakfasts before completing your registration. Register by the June 30 Advance Registration deadline to take advantage of savings on registration
Anterior vaginal wall suspension procedure for moderate bladder and uterine prolapse as a method of uterine preservation
The Journal of Urology
We report our experience with anterior vaginal wall suspension for moderate anterior vaginal compartment prolapse and uterine descent less than stage 2.
Effect of propiverine hydrochloride on stress urinary incontinence
International Journal of Urology via Wiley
To investigate whether the anticholinergic agent, propiverine hydrochloride, is clinically effective for stress urinary incontinence.
Dr. Elizabeth Mueller explains how she uses ultrasound to identify surgical mesh. Want to learn more? View her video and download a free eBook on pelvic floor ultrasound: CLICK HERE
Discovering, developing and marketing innovative medical imaging agents provides a strong platform from which to bring forward new breakthrough tools for the diagnosis and management of disease. MORE
Epidemiology and impact of urinary incontinence, overactive bladder and other lower urinary tract symptoms: results of the EPIC Survey in Russia, Czech Republic and Turkey
Current Medical Research and Opinion via Informa Healthcare
To estimate the prevalence of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in the Czech Republic, Russia, and Turkey.
Management of recurrent stress incontinence following a sling
Current Urology Reports via PubMed
Management of recurrent or persistent stress urinary incontinence following primary insertion of a synthetic midurethral sling remains a challenge for the urologist since no consensus is available to favor one treatment over another. Complete workup should be carried out, including cystoscopy, urodynamics and potentially a pelvic floor ultrasound as a diagnostic adjunct.
Treatment-seeking behavior and social status of women with pelvic organ prolapse, 4th-degree obstetric tears, and obstetric fistula in western Uganda
International Urogynecology Journal via PubMed
This study looks at a trilogy of women's health issues including severe pelvic organ prolapse, unrepaired fourth degree obstetric tears and obstetric fistula, all of which can cause significant suffering in the lives of women and their families.
Prolapse repair fails to improve sling outcomes in OAB patients
Performing concomitant anterior compartment repair in women receiving a midurethral sling for overactive bladder does not seem to offer any additional benefit, results of a cohort study indicate.
The only major predictor of clinical outcomes in the study was the development of postoperative complications, which were associated with less improvement in OAB symptoms.
Proteins in urine could play important role in stress incontinence
Incontinence is the world's most common chronic condition. Around ten per cent of Austrians are affected by it. However the problem continues to be a taboo subject: two out of three sufferers do not talk about it, preventing access to successful treatment. Stress incontinence, in which urine is lost involuntarily when coughing, laughing or sneezing, is the most common form of incontinence, affecting 60 percent of all cases. How it develops is largely unresearched.
Scottish Health Secretary Alex Neil requests mesh implant suspension
Scottish Health Secretary Alex Neil has requested a suspension in the use of mesh implants by the NHS in Scotland, pending safety investigations.
Some of the women who received the procedure, which is used to ease incontinence, have suffered painful and debilitating complications.
Neil told MSPs he was "deeply troubled" by the issue and was setting up an independent review.
7701 Las Colinas Ridge, Ste. 800, Irving, TX 75063