About this policy
CMS National Coverage Determination | ncd_id=248 | manual_section=230.17 | coverage_level_code=2 | national_coverage_type=True | under_review=False | lab_ncd=False
Coverage indications
Urinary collection and retention system are covered as prosthetic devices that replace bladder function in the case of permanent urinary incontinence. There is insufficient evidence to support the medical necessity of a single use system bag rather than the multi-use bag. Therefore, a single use drainage system is subject to the same coverage parameters as the multi-use drainage bags.
Documentation requirements
Item/Service Description: Urinary drainage bags that can be used either as bedside or leg drainage bags may be either multi-use or single use systems. Both the multi-use and the single use bags have a system that prevents urine backflow. However, the single use system is non-drainable. Revision History: 05/1997 - Indicated insufficient evidence to support medical necessity of using single use urinary drainage bags. Therefore, a single use drainage system is subject to the same coverage parameters as multiuse drainage bags. Effective date 06/05/1997. (TN 97) Benefit Categories: 58 - Prosthetic Devices Transmittal: transmittal_number=97 | transmittal_issue_date=1997-05-01
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.
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