Bladder Stimulators (Pacemakers)

CMS National Coverage Determination | ncd_id=243 | manual_section=230.16 | coverage_level_code=3 | national_coverage_type=True | under_review=False | lab_ncd=False

The use of spinal cord electrical stimulators, rectal electrical stimulators, and bladder wall stimulators is not considered reasonable and necessary. Therefore, no program payment may be made for these devices or for their implant.

Item/Service Description: There are a number of devices available to induce emptying of the urinary bladder by using electrical current which forces the muscles of the bladder to contract. These devices (commonly known as bladder stimulators or pacemakers) are characterized by the implantation of electrodes in the wall of the bladder, the rectal cones, or the spinal cord. While these treatments may effectively empty the bladder, the issue of safety involving the initiation of infection, erosion, placement, and material selection has not been resolved. Further, some facilities previously using electronic emptying have stopped using this method due to the pain experienced by the patient. Revision History: 09/1996 - Eliminated use of name brand products. Effective date 10/07/1996. (TN 89) 02/1995 - Reflected that pelvic floor stimulators used as a treatment for urinary incontinence are not covered. Effective date 03/01/1995. (TN 74) Benefit Categories: 58 - Prosthetic Devices Transmittal: transmittal_number=89 | transmittal_issue_date=1996-09-01