CommercialCoverageMedium impact
Pelvic Floor Stimulation as a Treatment of Urinary and Fecal Incontinence
Blue Cross & Blue Shield of Mississippi·Urology, OB-GYN, PM&R (Physical Medicine & Rehab) +1 more·Medical Policy
We identified it
Jun 20, 2026
Summary
Blue Cross Blue Shield policy A.1.01.17 classifies both electrical and magnetic pelvic floor stimulation as investigational treatments for urinary and fecal incontinence. Claims using related CPT and HCPCS codes will likely be denied as not medically necessary.
Action Required
Immediately: Billing team must flag CPT codes 53899, 97014, 97032 and HCPCS codes E0740, G0283 for pelvic floor stimulation as investigational in billing system. Notify providers that these services are considered investigational by BCBS and claims will likely be denied. Verify patient benefits and inform patients of potential out-of-pocket costs before treatment.