Sacral Nerve Stimulation for Treatment of Fecal Incontinence

Fecal incontinence (FI) is a condition whereby passage of solid or liquid feces through the anal canal is not sufficiently restricted. Sacral nerve stimulation may be an effective treatment alternative for patients with severe FI who do not respond to conservative treatments.  However, the procedure carries risks for complications, and it is not effective for every FI patient.

Coverage decision: Covered with conditions (Effective date: September 1, 2017)

Authorization requirements


Is authorization required?

How do I get pre-authorization?

Yes

L&I (State fund): request Utilization Review provided by Qualis

Self-insured:
Contact the employer or its third party administrator

References

Regulatory authority and related information

 

 

End of main content, page footer follows.

Access Washington official state portal

   © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.

Help us improve