Bladder Stimulators (Pacemakers)

Medicare considers spinal cord, rectal, and bladder wall electrical stimulators (including implants) not reasonable and necessary and excludes them from program payment. The policy cites unresolved safety concerns—such as infection risk, erosion, material issues, and patient pain—as justification for noncoverage.

"Spinal cord electrical stimulators (including implants) are not considered reasonable and necessary and are excluded from program payment."

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