Dr. Jason Kim

It's not been assigned a value.

So basically, we can assign our own value.

We crosswalk it.

And some people for the ITNS, they crosswalk it to the level of an IPG implantation 64590.

Some people use a 64581, like a sacral remodulation lean implant, and some people use a sling.

That being said, with the category three code at the current time, we cannot do it in the office for reimbursement reasons.

Once a category one code has been assigned, which is not yet for implantable tibial nerve stimulation is priced at least about two years before this procedure could be performed in the office.

But to me, that's where it'll be a game changer.

I was part of the Medtronic trial.

We did all the implants in the office.

I know for the other trials, most of them were also done in the office.

And these implants are designed to be done in the office.

And I do think there's going to be a higher patient uptake of implantable tibial nerve stimulators when it could be performed in an office-based setting with just local anesthesia.

Well, Anjali, it's radically different.

I can't remember the last time I had to do bladder augmentation.

In fellowship, we routinely did bladder augmentation.

I started practice after fellowship in New York in 2011.

At that point,

Botox was not approved for idiopathic overactive bladder, and PTNS was not approved for idiopathic overactive bladder.

The really only thing we did was sacral nerve modulation.