Medicare WISeR service

Sacral Nerve Stimulation for Urinary Incontinence

WISeR applies to permanent implantation for listed indications. CPT 64561 enters scope when billed with CPT 64590; CPT 64581 remains independently in scope.

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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

Relevant diagnosis of urge incontinence, urgency-frequency syndrome, or urinary retention
Conservative treatments tried and failed or contraindicated
Ability to maintain a voiding diary
Successful test stimulation with at least 50% improvement

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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.