Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence

This billing and coding guideline supplements LCD L39543: sacral nerve stimulation for urinary and fecal incontinence is payable only when it meets the LCD indications and general CMS medical necessity and NCD requirements. Components of the global surgical package (e.g., dressing changes, suture removal) are not separately billable, and postoperative visits/services related to recovery within 10 days of minor surgery or endoscopy are not separately payable.

"Services for sacral nerve stimulation are covered only when they meet all indications specified in Local Coverage Determination L39543 for treatment of urinary and/or fecal incontinence."

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