Biofeedback as a Treatment of Urinary Incontinence

This policy covers biofeedback administered by a licensed healthcare professional as medically necessary for treatment of urinary incontinence (including stress, urge, mixed, and overflow), often used as an adjunct to pelvic floor muscle training, and also recognizes use for other conditions such as headaches, hypertension, chronic pain, and behavioral health disorders. Major limitations include that home/consumer devices (e.g., leva Pelvic Health System) are not considered medically necessary for urinary incontinence, and the evidence base is limited by small, biased, mostly non‑U.S. studies with heterogeneity and potential nonspecific/placebo effects, so controlled trials demonstrating disease‑related outcome benefits are required.

"Biofeedback performed by a licensed healthcare professional is medically necessary for the treatment of urinary incontinence."

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