Urological Supplies

Medicare covers urological supplies only when items meet Medicare benefit eligibility and are reasonable and necessary with supporting documentation. Specific coverage rules include limits such as one routine indwelling catheter per month, specified monthly maxima for intermittent catheter supplies and drainage bags, coverage of sterile intermittent catheter kits only under defined clinical criteria, restricted use of continuous irrigation (documented history of obstruction and typically <2 weeks), inFlow device limited to one per 29 days with a required 31–91 day re-evaluation for continued coverage, and supplier documentation/ordering/refill requirements (SWO/WOPD, POD, beneficiary refill confirmation).

"Items are covered only if they meet Medicare benefit category eligibility, are reasonable and necessary for diagnosis/treatment or to improve function of a malformed body member, and meet all other..."