Non-Covered Urological Supplies

Supplies used in the management of incontinence include but are not limited to the following items. These items will be denied as non-covered because they are not prosthetic devices, nor are they required for the effective use of a prosthetic device:

  • Creams, salves, lotions, barriers (liquid, spray, wipes, powder, paste) or other skin care products (A6250)
  • Catheter care kits (A9270)
  • Adhesive remover (A4455, A4456) (Coverage remains for use with ostomy supplies.)
  • Catheter clamp or plug (A9270)
  • Non-disposable underpads (A4553)
  • Disposable underpads, e.g., Chux (A4554)
  • Diapers, or incontinent garments, disposable or reusable (A4520)
  • Drainage bag holder or stand (A9270)
  • Urinary suspensory without leg bag (A9270)
  • Measuring container (A9270)
  • Urinary drainage tray (A9270)
  • Gauze pads (A6216, A6217, A6218) and other dressings (coverage remains under other benefits, e.g., surgical dressings)
  • Other incontinence products not directly related to the use of a covered urinary catheter or external urinary collection device (A9270)
  • Disposable external urethral clamp or compression device, with pad and/or pouch (A4360)
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