CMS oks reimbursement for Uroplasty device

Uroplasty Inc. lands reimbursement status from the Centers for Medicare and Medicaid Services for its posterior tibial nerve stimulation device for treating overactive bladder.

Centers for Medicare and Medicaid Services awarded reimbursement status to Uroplasty Inc.’s (NSDQ:UPI) Urgent PC Neuromodulation System.

When companies’ products are approved for coverage by the governmental agency, private-pay insurance companies typically follow their lead. Uroplasty said it now anticipates insurance companies to reimburse for a higher amount.

CMS published its corresponding Category I CPT code for the company’s posterior tibial nerve stimulation treatment in the Nov. 2010Federal Register. The base Medicare physician payment for PTNS will be approximately$97.49, although that could shift as a result of an act of Congress or a CMS rule change,according to the company. Uroplasty said it believes that healthcare providers will adopt the device for treatment of overactive bladder.


The coverage approval is good news for the Minneapolis, Minn.-based company, whichrecorded a loss of $922,672, or 5 cents per diluted share, on sales of $3.2 million during the three months ended Sept. 30. That compares with a loss of $874,659, or 6 cents per diluted share, on revenues of $3.0 million during the same period last year.

“In anticipation of increased interest in our Urgent PC System resulting from the new CPT code, we have expanded our U.S. field sales organization to 30 employed representatives, doubling the number of our sales representatives since the beginning of the current fiscal year. They will soon be trained and prepared to aggressively relaunch Urgent PC in the coming months,” Uroplasty CEO David Kaysen said in prepared remarks.

MassDevice Staff

MassDevice Staff

The Massachusetts Medical Devices Journal is the online journal of the medical devices industry in the Commonwealth and New England, providing day-to-day coverage of the devices that save lives, the people behind them, and the burgeoning trends and developments within the industry.

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I’ve been watching the progress on the tibial nerve stimulation for overactive bladder because I have numerous clients that could benefit from it. IS there any progress being made to permit the procedure to be done in the residential care facility? Doing biofeedback for bladder control in these facilities has not been approved but I think the Urgent PC program would be much more effective since it doesn’t require the client to be cognitively intact.

Comment by Jennifer — October 10, 2011 @ 8:52 pm

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