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The following general reimbursement coding information is provided as an educational resource to assist you in gaining patient access to our lifesaving technologies.

HCPCS - The Centers for Medicare and Medicaid Services provide a wealth of information on the HCPCS coding system used to gain reimburesment for some medical devices.
CPT® - The listing of CPT® codes and their procedural descriptions provide a good starting point for gaining reimbursement on many of our devices.

The Healthcare Common Procedure Coding System (HCPCS) is an alphanumeric coding system established to provide a uniform method for health care providers to report the use of drugs, medical devices, supplies and services not included in the CPT® (Current Procedural Terminology) codes. Since Medicare and other insurers cover a variety of services, supplies and equipment that are not identified by CPT®, HCPCS were established for submitting claims for these items.

Use the links below to research HCPCS coding at the Centers for Medicare and Medicaid Services.

HCPCS - General Information.

HCPCS - Coding Process and Criteria.

Coding Questions.

Quarterly Update of the HCPCS Code System.

HCPCS Procedure and Modifier Codes Database.

Current Procedural Terminology (CPT) is a uniform system of medical coding consisting of descriptive terms and identifying codes used to identify medical services and procedures provided by physicians and other health care professionals. CPT® codes are used to bill public and private health insurance programs for services and procedures performed by the health care provider.

The following is a list of many of our devices and the CPT® codes representing the procedures and services where the devices may be used.

 

EndoCurette® Endometrial Sampling Suction Curettes

CPT Code Description
58100 Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure).

 

Epitome® Electrosurgical Scalpels and OptiMicro™ Microdissection Needle Electrodes

Dermatologic Surgery
CPT Code Description
11200 Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions.
11201 Removal of skin tags, multiple fibrocutaneous tags, any area; each additional 10 lesions (List seperately in addition to code for primary procedure).
11400 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less.
11401 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm.
11402 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm.
11403 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm.
11404 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm.
11406 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm.
11420 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less.
11421 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm.
11422 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm.
11423 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm.
11424 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm.
11426 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm.
11440 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less.
11441 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm.
11442 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm.
11443 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm.
11444 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm.
11446 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm.
11450 Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair.
11451 Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair.
11462 Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair.
11463 Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair.
11470 Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair.
11471 Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilica; with complex repair.
11600 Excision, malignant lesion including margins, trunk, arms or legs; excised diameter 0.5 cm or less.
11601 Excision, malignant lesion including margins, trunk, arms or legs; excised diameter 0.6 to 1.0 cm.
11602 Excision, malignant lesion including margins, trunk, arms or legs; excised diameter 1.1 to 2.0 cm.
11603 Excision, malignant lesion including margins, trunk, arms or legs; excised diameter 2.1 to 3.0 cm.
11604 Excision, malignant lesion including margins, trunk, arms or legs; excised diameter 3.1 to 4.0 cm.
11606 Excision, malignant lesion including margins, trunk, arms or legs; excised diameter over 4.0 cm.
11620 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less.
11621 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm.
11622 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm.
11623 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm.
11624 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm.
11626 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm.
11640 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less.
11641 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm.
11642 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm.
11643 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm.
11644 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm.
11646 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm.
Plastic/General Surgery
CPT Code Description
15820 Blepharoplasty, lower eylid.
15821 Blepharoplasty, lower eylid; with extensive herniated fat pad.
15822 Blepharoplasty, upper eylid.
15823 Blepharoplasty, upper eylid; with extensive skin weighting down lid.
15824 Rhytidectomy; forehead.
15825 Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap).
15826 Rhytidectomy; glabellar frown lines.
15828 Rhytidectomy; cheek, chin, and neck.
15829 Rhytidectomy; superficial musculoaponeurotic system (SMAS) flap.
15831 Excision, excessive skin and subcutaneous tissue (including lipectomy); abdomen (abdominoplasty).
19160 Mastectomy, partial.
19162 Mastectomy, partial; with auxillary lymphadenectomy.
19180 Mastectomy, simple, complete.
19182 Mastectomy, subcutaneous.
19200 Mastectomy, radical, including pectoral muscles, axillary lymph nodes.
19220 Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes.
19240 Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle.
19316 Mastopexy.
19318 Reduction mammaplasty.
19324 Mammaplasty, augmentation; without prosthetic implant.
19325 Mammaplasty, augmentation; with prosthetic implant.
19328 Removal of intact mammary implant.
19330 Removal of mammary implant material.
19340 Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction.
19342 Delayed insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction.
19357 Breast reconstruction, immediate or delayed, with tissue expander, including subsequent expansion.
19361 Breast reconstruction with latissimus dorsi flap, with or without prosthetic implant.
19364 Breast reconstruction with free flap.
19366 Breast reconstruction with other technique.
19367 Breast reconstruction with transverse rectus abdominis myocutaneous flap (TRAM), single pedicle, including closure of donor site.
19368 Breast reconstruction with transverse rectus abdominis myocutaneous flap (TRAM), single pedicle, including closure of donor site; with microvascular anastomosis (supercharging).
19369 Breast reconstruction with transverse rectus abdominis myocutaneous flap (TRAM), double pedicle, including closure of donor site.
19370 Open periprosthetic capsulectomy, breast.
19371 Periprosthetic capsulectomy, breast.
19380 Revision of reconstructed breast.
Ear, Nose and Throat Surgery
CPT Code Description
42145 Uvulopalatopharyngoplasty.
42410 Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection (parotidectomy).
42415 Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve (parotidectomy).
42420 Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve (parotidectomy).
42425 Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve (parotidectomy).
42426 Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection (parotidectomy).
42826 Tonsillectomy.
60240 Thyroidectomy, total or complete.
60252 Thyroidectomy, total or subtotal for malignancy; with limited neck dissection.
60254 Thyroidectomy, total or subtotal for malignancy; with radical neck dissection.
60260 Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid.
60270 Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach.
60271 Thyroidectomy, including substernal thyroid; cervical approach.

 

Liberty® Pelvic Floor Electrostimulation Systems

CPT Code Description
97014 Physical medicine and rehabilitation; electric stimulation, unattended.
97032 Physical medicine and rehabilitation; electric stimulation, attended.
HCPCS Code Description
E0740 Incontinence treatment system, pelvic floor stimulator.

 

LUMIN™ Laparoscopic Uterine Manipulator/Injectors

CPT Code Description
58545 Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 grams or less and/or removal of surface myomas.
58546 Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 grams.
58550 Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 grams or less.
58552 Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s).
58553 Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 grams.
58554 Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s).
58578 Unlisted laparoscopy procedure, uterus.

 

Pathfinder Plus™ Endoscopic Bulb Irrigators

CPT Code Description
50551 Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service.
50553 Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter.
50555 Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy.
50557 Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulgaration and/or incision, with or without biopsy.
50561 Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus.
50562 Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor.
50570 Renal endoscopy through nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service.
50572 Renal endoscopy through nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter.
50574 Renal endoscopy through nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy.
50575 Renal endoscopy through nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy, dilation of ureter and ureteral pelvic junction and insertion of endopyelotomy stent.
50576 Renal endoscopy through nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulgaration and/or incision, with or without biopsy.
50580 Renal endoscopy through nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus.
50951 Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service.
50953 Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter.
50955 Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy.
50957 Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulgaration and/or incision, with or without biopsy.
50961 Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus.
50970 Ureteral endoscopy through ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service.
50972 Ureteral endoscopy through ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter.
50974 Ureteral endoscopy through ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy.
50976 Ureteral endoscopy through ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulgaration and/or incision, with or without biopsy.
50980 Ureteral endoscopy through ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus.

 

TVUS/HSG-Cath™ Catheters

CPT Code Description
58340 Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography.
74740 Hysterosalpingography, radiological supervision and interpretation.
76831 Saline infusion sonohysterography (SIS), including color flow Doppler, when performed.

UtahLoop® LETZ® Loop Electrodes and C-LETZ® Contoured Conization Electrodes

CPT Code Description
57460 Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix.
57461 Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix.
57522 Conization of cervix, loop electrode excision.


CPT codes and descriptions are copyright 2006 American Medical Association. All rights reserved.
CPT is a registered trademark of the American Medical Association.

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