Reimbursement for the MyoSure® Procedure

In the U.S., most insurance providers are currently providing only hospital-based reimbursement under Current Procedural Terminology (CPT) code 58561- myomectomy or (CPT) code 58558 - polypectomy.

Hologic Inc. has provided the following coding, billing, and reimbursement information for billing professionals at medical facilities. The following information includes possible codes that might be used to bill when the MyoSure® procedure is performed. It is the provider's responsibility to determine and submit the appropriate codes, charges, and modifiers for services rendered. Providers should contact insurers to verify correct coding procedures prior to submitting claims.

Hologic cannot guarantee coverage or reimbursement with the codes listed in the guide below. The payment rates listed are national Medicare payment rates that are subject to change without notice, and private payer rates may vary. Providers are responsible for determining insurance coverage, as well as, determining the appropriate billing and coding submissions.

MyoSure® Coding & Reimbursement Guide