Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence
JJ · Effective Nov 5, 2023
5 active Medicare policies list C1897, and 18 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
National · Effective Jun 17, 2025
National · Effective Apr 6, 2026
National · Effective Mar 5, 2026
18 policies from 8 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of C1897 |
|---|---|---|
| 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 |
| Trigeminal Neuralgia: Treatments | Feb 15, 2024 | Covered |
| Policy |
|---|
| Effective |
|---|
| Status of C1897 |
|---|
| Cigna Commercial Interventional Pain Management Code List | Mar 7, 2026 | Prior auth required |
|---|---|---|
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Diaphragmatic/Phrenic Nerve Stimulation | Jul 15, 2026 | Covered with conditions |
| Policy | Effective | Status of C1897 |
|---|---|---|
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Spinal Cord Stimulation (SCS) and Dorsal Root Ganglion (DRG) Stimulation | Aug 1, 2026 | Covered |
| Policy | Effective | Status of C1897 |
|---|---|---|
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Spinal Cord Stimulation (SCS) and Dorsal Root Ganglion (DRG) Stimulation | Aug 1, 2026 | Covered |
| Policy | Effective | Status of C1897 |
|---|---|---|
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Spinal Cord Stimulation (SCS) and Dorsal Root Ganglion (DRG) Stimulation | Aug 1, 2026 | Covered |
| Policy | Effective | Status of C1897 |
|---|---|---|
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Spinal Cord Stimulation (SCS) and Dorsal Root Ganglion (DRG) Stimulation | Aug 1, 2026 | Covered |
| Policy | Effective | Status of C1897 |
|---|---|---|
| Cigna Medicare Advantage Interventional Pain Management Code List | Jan 1, 2025 | Prior auth required |
| Policy | Effective | Status of C1897 |
|---|---|---|
| Gastric Electrical Stimulation | Jul 1, 2026 | Covered |