Transanal Radiofrequency (RF) Treatment of Fecal Incontinence

This policy addresses transanal radiofrequency (RF) treatment (Secca) for adult fecal incontinence — a minimally invasive outpatient RF procedure intended to reduce frequency of solid or liquid stool incontinence, typically considered for moderate-to-severe cases (e.g., higher CCF‑FI scores) after failure of conservative therapies such as dietary measures, antidiarrheals, biofeedback, or prior surgical options. Major limitations: the procedure is considered experimental, investigational and/or unproven and is not covered due to limited, heterogeneous evidence and lack of robust randomized trials, with reported adverse events (including potential sphincter damage and worsening incontinence); coverage is subject to the member’s benefit plan and there is no specific CPT code (may be billed as unlisted 46999).

"Conservative medical management for fecal incontinence, including dietary measures (bulk-producing agents, elimination of offending foods), antidiarrheal drugs for mild incontinence, bowel manageme..."