CommercialCoverageMedium impact
Pelvic Floor Electrical Stimulation as a Treatment for Urinary or Fecal Incontinence 1.01.19
Excellus BlueCross BlueShield·Urology, OB-GYN, PM&R (Physical Medicine & Rehab) +1 more·Urinary System (Genitourinary)
Effective date
Mar 19, 2026
We identified it
Jun 20, 2026
Summary
Excellus BlueCross BlueShield has updated their policy to classify pelvic floor electrical stimulation (PFES) as not medically necessary for treating urinary or fecal incontinence. This affects specific CPT and HCPCS codes that will now be denied for incontinence-related diagnoses.
Action Required
Before March 19, 2026: Billing team must update system to flag CPT codes 97014, 97032, G0283 and HCPCS codes E0740, E0715 as non-covered when billed with incontinence diagnosis codes N39.3, N39.41-N39.498, R15.0-R15.9, and R32 for Excellus BlueCross BlueShield patients. Update encounter forms to alert providers that PFES treatments will be denied for these conditions. Claims will be denied as not medically necessary.