CommercialCoverageMedium impact
11.17.04y, Sacral Nerve Stimulation (SNS) and Posterior Tibial Nerve Stimulation (PTNS) for the Control of Incontinence
Independence Blue Cross·Urology, OB-GYN, Gastroenterology +1 more·Medical Policy
Effective date
May 28, 2025
We identified it
Jun 19, 2026
Summary
The policy for Sacral Nerve Stimulation (SNS) and Posterior Tibial Nerve Stimulation (PTNS) for incontinence control has been reissued with updates effective May 28, 2025. This affects coverage criteria and billing requirements for these specialized procedures used to treat urinary and fecal incontinence.
Action Required
By May 28, 2025: Billing team must review and implement updated coverage criteria for sacral nerve stimulation and posterior tibial nerve stimulation procedures. Update prior authorization workflows and documentation requirements for incontinence treatment procedures. Ensure billing staff are trained on new policy requirements before the effective date to prevent claim denials.