Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence

Sacral nerve stimulation via a sacral implanted electrode array is covered for urinary urge incontinence, urgency-frequency syndrome, urinary retention, and for selected chronic fecal incontinence cases meeting criteria. Coverage requires documented failure of conventional therapies, demonstration of surgical candidacy, and a successful test stimulation (>=50% improvement for urinary; >=50% sustained >1 week for fecal); exclusions include stress incontinence, urinary obstruction, anorectal malformations, inflammatory bowel disease, certain neurologic causes, and the procedure is not covered for chronic constipation or chronic pelvic pain.

"Sacral nerve stimulation (direct stimulation via an electrode array implanted at the sacrum) is covered for treatment of urinary urge incontinence, urgency-frequency syndrome, and urinary retention."

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