Health & Medical Medicine

Understand the Procedure and How to Apply the Correct CPT Code for Coaptite

What it means: Coaptite Injectable Implant is a gel based substance that is used to gill in the tissues around the urethra that provides support for any physical activity. It is used to treat Stress Urinary Incontinence which is the involuntary loss of urine during coughing, laughing, or sneezing. A muscle called sphincter that is responsible to keep urine in the bladder becomes weak and thus urine leaks out at the slightest pressure. But this condition can be treated both surgically and non-surgically.

Where is the procedure done: It is done in a doctor’s office, outpatient surgery center, or in an operating room. It takes around 15-20 minutes to complete the procedure. During the procedure, a needle is placed into the urethra using a cystoscope and the Coaptite Implant is injected into the tissues surrounding urethra providing a bulking effect.

After the procedure is done, one is advised to stay in the recovery room until one can pass urine without any difficulty. The physician also gives specific instructions regarding the activities that can be done after the procedure.

Warning: One should not have the procedure if there is inflammation in the bladder or the urethra or any other infections. Also experiencing pain when passing urine or urinating several times indicates infection in the urinary tract. But as soon as the infection is treated, getting Coaptite Injectable Implant can be performed.
Additionally, if while urinating one has to apply pressure or strain, it can be a symptom of stricture. In this case, doctors can share information regarding the treatment options for urethral strictures.

For pregnant women, the safety and effectiveness is yet to be determined. The impact it has on the baby or the mother is unknown and whether the treatment will relieve the SUI when pregnant.

Sometimes one cannot urinate after treatment so in such cases the doctor places a catheter till one begins to urinate naturally.

Sometimes the Coaptite Implant can get out of place when injected leading to complications. The Coaptite Implant can also erode your tissues and in this case surgery is required to repair the damaged tissues. Mostly women with peripheral vascular disease as well as previous pelvic surgery are prone to be affected by the risk of tissue erosion.

What is the CPT Code for Coaptite that is used for coding and billing: As this procedure is done in both males and females, a common CPT code which is used is 51715.

For the implant substance HCPCS code L8606 is used for reporting which describes the number of syringes used to the payer who will reimburse for the CPT code 51715. This however should not be sent to the Durable Medical Equipment Regional Office.

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