Medicare WISeR service

Diagnosis and Treatment of Impotence

The current WISeR scope focuses on insertion of penile prostheses.

Documentation overview

Documentation categories to review

These categories summarize the approved criteria bundle. The note checker uses the selected state, clinical pathway and procedure details to apply the relevant criteria.

Core documentation

  • Evaluation and diagnosis of erectile dysfunction
  • Treatments tried and failed or contraindicated
  • Absence of active infection

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Educational use only

This page summarizes public CMS documentation criteria. It does not provide medical, legal or coding advice, determine Medicare coverage, predict prior-authorization outcomes, or replace clinical judgment. Coverage decisions are made by CMS and its contractors. Verify the effective policy for the patient’s date and place of service before relying on this summary.