Does E0740 require prior authorization?

No, E0740 does not require prior authorization (high confidence). Covered without prior authorization.

`E0740`, Non-implanted pelvic floor electrical stimulator, complete system

HCPCS/CPT

No Prior Auth Required

Covered without prior authorization (high confidence)

Procedure codes listed are for general reference and may not be all-inclusive.
Presence or absence of codes in the policy does not determine coverage or reimbursement; use the written coverage position for determinations.
Coverage determinations must include review of the member's benefit contract / Summary Plan Description (SPD) for defined coverage, exclusions, and limitations (e.g., dollar or duration caps).

Pelvic floor stimulation (electrical or magnetic) for urinary or fecal incontinence is not covered; considered experimental, investigational and/or unproven.
Pelvic floor stimulation (electrical or magnetic) for urinary or fecal incontinence is not covered; it is considered experimental/investigational/unproven.
Medically necessary treatment for sexual dysfunction may be covered if the member's contract does not exclude sexual dysfunction services and the patient has a documented disease process (e.g., diabetes mellitus, hypertension, lipid abnormalities, or peripheral vascular disease).

BCBSIL-DME101.037, Pelvic Floor Stimulation as a Treatment of Urinary or Fecal Incontinence

BCBSIL-MED201.030, Sexual Dysfunctions, Assessment and Treatment

BCBSMT-DME101.037, Pelvic Floor Stimulation as a Treatment of Urinary or Fecal Incontinence

BCBSMT-MED201.030, Sexual Dysfunctions, Assessment and Treatment

BCBSNM-DME101.037, Pelvic Floor Stimulation as a Treatment of Urinary or Fecal Incontinence

Ask Backwork about documentation requirements, denial risks, or coverage in your state.