On October 29, 2026, Toronto-based Cosm Medical announced that the American Medical Association has revised two CPT Category III codes, 0559T and 0560T, after a code-change application co-led by Cosm and the American College of Radiology. From January 1, 2027, US clinicians will for the first time be able to report the work of designing a pessary personalized to a patient's own anatomy. The revised descriptors now cover a "patient-specific anatomic model or structure 3D-printed from image or anatomical data set(s)." Cosm says that language covers its Gynethotics pessaries, which are designed and fabricated to each patient's anatomy. The AMA's published Category III short-descriptor table lists both codes as revised, with an effective date of January 1, 2027.

Why It Matters

Pelvic-floor health is where femtech meets sexual wellness. Prolapse and incontinence affect sex, body confidence and willingness to be intimate, and devices in this area have mostly been either one-size-fits-all clinical hardware or cash-pay consumer trainers. Getting a personalized, image-derived device into the US coding system is the dull but necessary step that turns a startup's product into something a gynecologist can bill for. It's also an example for other femtech hardware companies (custom-fit devices, dilators, wearables), which usually stall at reimbursement rather than regulatory clearance. Watch whether payers attach rates to 0559T/0560T for gynecologic use in 2027, and whether the "3D-printed from anatomical data" language draws in other patient-specific intimate-health devices. It sits alongside other pelvic-floor stories we've covered, like [the evidence limits on Kegels](/stories/kegel-limits-pelvic-floor-science): the field is moving from "squeeze harder" to "fit the device to the body."

The clinical case comes from the release's citations. Nearly half of all women will have a pelvic floor disorder such as prolapse or stress urinary incontinence in their lifetime, and about one in five will have surgery for one. Pessaries are the first-line non-surgical option, but standard off-the-shelf devices can't be fitted in roughly 30% of patients, and 33–38% of users stop within a year, often because of poor fit. "Orthopaedics and dentistry made patient-specific devices routine decades ago. Pelvic health is next," said founder and CEO Derek Sham. Cosm worked with reimbursement consultancy PRIA Healthcare on the application and has published a coding guide for billing teams.

An important caveat: Category III codes are temporary tracking codes for emerging technology. They let providers report a service, but payment is up to individual payers. So this is a reimbursement pathway, as Cosm describes it, not guaranteed coverage.

Sources

Update — 2026-11-01

Initial entry — story first created.