About this policy
CMS NCA document | source_status=Closed | review_type=New | public_comment_open=False | document_id=CAG-00021N
Coverage indications
Amend Coverage Issues Manual 65-9C to state: Electronic StimulatorsPelvic floor electrical stimulators, inserted into the vaginal canal or rectum, are covered as reasonable and necessary as a treatment for stress and/or urge urinary incontinence. The patient must have first undergone and failed a documented trial of pelvic muscle exercise training. These devices are not covered as initial treatment modality for stress or urge incontinence. Implanted stimulators remain noncovered.
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
Backwork has no codes on record for this policy. Check the source.