Monarch Medical Products

The oval pessary is commonly used for a mild first-degree uterine prolapse or a cystocele. The oval shape inhibits rotation of the pessary in women with a history of vaginal surgery and it is available with or without a supporting membrane.

HCPCS Reimbursement Code for Pessary - A4562
Code for the Office Visit - 99214
CPT Procedure Code for Fitting & Insertion - 57160

SKU #	Description	Price
1606200	Oval Pessary With Support, 2" #1	$45
1606225	Oval Pessary With Support, 2.25" #2	$45
1606250	Oval Pessary With Support, 2.5" #3	$45
1606275	Oval Pessary With Support, 2.75" #4	$45
1606300	Oval Pessary With Support, 3" #5	$45
1606325	Oval Pessary With Support, 3.25" #6	$45
1606350	Oval Pessary With Support, 3.5" #7	$45
1606375	Oval Pessary With Support, 3.75" #8	$45
1606400	Oval Pessary With Support, 4" #9	$45
1617200	Oval Pessary Without Support, 2" #1	$45
1617225	Oval Pessary Without Support, 2.25" #2	$45
1617250	Oval Pessary Without Support, 2.5" #3	$45
1617275	Oval Pessary Without Support, 2.75" #4	$45
1617300	Oval Pessary Without Support, 3" #5	$45
1617325	Oval Pessary Without Support, 3.25" #6	$45
1617350	Oval Pessary Without Support, 3.5" #7	$45
1617375	Oval Pessary Without Support, 3.75" #8	$45
1617400	Oval Pessary Without Support, 4" #9	$45