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Urethral Inserts (A4336) Coverage and Documentation September 2010 (A50231) Urethral inserts (A4336) are covered for adult females with stress incontinence when basic coverage criteria are met and the patient or caregiver can perform the procedure. They are not indicated for women: With bladder or other urinary tract infections (UTI) With a history of urethral stricture, bladder augmentation, pelvic radiation or other conditions where urethral catheterization is not clinically advisable Who are immunocompromised, at significant risk from UTI, interstitial cystitis, or pyleonephritis, or who have severely compromised urinary mucosa Unable to tolerate antibiotic therapy On anticoagulants With overflow incontinence or neurogenic bladder If requested, the medical record must contain information that substantiates the need for this item and shows that none of the above listed contraindications are present. This coverage expansion will be incorporated into the next revision of the Urological Supplies LCD. Refer to the Urological Supplies LCD and Policy Article for additional information. Remember! National Government Services' Jurisdiction B DME MAC List serv is for out going messages only. Please do not respond back to messages as your response will not be answered, as this is not an authorized mode of communication at this time, Thank You! National Government Services encourages all Web site users to provide feedback regarding ways to improve our Web site. The ForeSee Results (pop-up) survey is an easy mechanism for providers to use to let us know how we can best serve you. Your comments play a large role in the enhancements that are made to the National Government Services Web site. CONFIDENTIALITY NOTICE: This E-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply E-mail and destroy all copies of the original message. To unsubscribe/change profile: click here. Email list management powered by http://MailerMailer.com |