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Injectable Bulking Agents for the Treatment of Urinary and Fecal Incontinence
Effective date
Not stated in the notice
Identified
Jun 20, 2026
Summary
Carbon-coated spheres, calcium hydroxylapatite, polyacrylamide hydrogel, or polydimethylsiloxane may be considered medically necessary to treat stress urinary incontinence in men and women who have failed appropriate conservative therapy. Autologous cellular therapy, autologous fat, autologous ear chondrocytes, and any other periurethral bulking agent, including Teflon, are investigational for stress urinary incontinence. Periurethral bulking agents for urge urinary incontinence and perianal bulking agents for fecal incontinence are also investigational.
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What to do
Action · 3 steps
01Claims for periurethral bulking agents for stress urinary incontinence need documentation of an inadequate response to conservative therapy, which in general should have been used for at least 3 months.
02Conservative therapy includes pelvic floor muscle exercises and behavioral changes such as fluid management and moderation of physical activities that provoke incontinence, and additional options include intravaginal estrogen therapy, use of a pessary, and treatment of other underlying causes.
03Claims for Federal Employee Program members may be assessed only on the basis of medical necessity for FDA-approved devices, because the program may not consider them investigational.
Codes mentioned
51715L8603L8606Q3031N36.41N36.43N36.42N36.8N39.3R32N39.46N39.42N39.43N39.44N39.45N39.498R39.8146999L8605
Original notice
Injectable Bulking Agents for the Treatment of Urinary and Fecal Incontinence
bcbsms.com · Always check the source before changing claims.
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