Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence
JJ · Effective Nov 5, 2023
6 active Medicare policies list 95970, and 36 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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JJ · Effective Nov 5, 2023
JM · Effective Nov 5, 2023
JJ · Effective Jan 29, 2018
JM · Effective Jan 29, 2018
National · Effective Jun 17, 2025
National · Effective Jan 1, 2024
36 policies from 7 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 95970 |
|---|---|---|
| Chronic Pelvic Pain, Endometriosis, and Other Indications: Selected Treatments | Oct 5, 2023 | Covered |
| Constraint-Induced Therapy | Sep 14, 2023 | Covered |
| Eating Disorders | Aug 1, 2023 | Covered |
| Headaches: Invasive Procedures | Feb 20, 2024 | Covered |
| Huntington's Disease | Sep 12, 2023 | Covered |
| Motor Cortex Stimulation | Oct 6, 2023 | Covered |
| Tinnitus Treatments | Feb 16, 2024 | Covered |
|---|
| Trigeminal Neuralgia: Treatments | Feb 15, 2024 | Covered |
|---|
| Vagus Nerve Stimulation | Feb 9, 2024 | Covered |
|---|
| Policy | Effective | Status of 95970 |
|---|---|---|
| Deep Brain Stimulation | Sep 15, 2026 | Covered |
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Responsive Neurostimulation for the Treatment of Refractory Focal Epilepsy | Dec 1, 2025 | Covered |
| Sacral Nerve Neuromodulation/Stimulation | Dec 1, 2025 | Covered |
| Spinal Cord Stimulation (SCS) and Dorsal Root Ganglion (DRG) Stimulation | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 95970 |
|---|---|---|
| Deep Brain Stimulation | Sep 15, 2026 | Covered |
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Responsive Neurostimulation for the Treatment of Refractory Focal Epilepsy | Dec 1, 2025 | Covered |
| Sacral Nerve Neuromodulation/Stimulation | Dec 1, 2025 | Covered |
| Spinal Cord Stimulation (SCS) and Dorsal Root Ganglion (DRG) Stimulation | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 95970 |
|---|---|---|
| Deep Brain Stimulation | Sep 15, 2026 | Covered |
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Responsive Neurostimulation for the Treatment of Refractory Focal Epilepsy | Dec 1, 2025 | Covered |
| Sacral Nerve Neuromodulation/Stimulation | Dec 1, 2025 | Covered |
| Spinal Cord Stimulation (SCS) and Dorsal Root Ganglion (DRG) Stimulation | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 95970 |
|---|---|---|
| Deep Brain Stimulation | Sep 15, 2026 | Covered |
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Responsive Neurostimulation for the Treatment of Refractory Focal Epilepsy | Dec 1, 2025 | Covered |
| Sacral Nerve Neuromodulation/Stimulation | Dec 1, 2025 | Covered |
| Spinal Cord Stimulation (SCS) and Dorsal Root Ganglion (DRG) Stimulation | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 95970 |
|---|---|---|
| Implantable Peripheral Nerve Stimulation and Peripheral Subcutaneous Field Stimulation | Sep 1, 2026 | Covered |
| Occipital Nerve Stimulation | Jun 1, 2026 | Covered |
| Responsive Neurostimulation | Mar 1, 2026 | Covered |
| Sacral Nerve Neuromodulation (Stimulation) for Pelvic Floor Dysfunction | Dec 1, 2025 | Covered |
| Vagus Nerve Stimulation | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 95970 |
|---|---|---|
| Fecal Incontinence Treatments | Not recorded | Covered |
| Spinal Cord, Peripheral Nerve, and Percutaneous Electrical Nerve Stimulation | Not recorded | Covered |