National Coverage Determination (NCD)

Diagnosis and Treatment of Impotence

230.4

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Tracking Information

Publication Number
100-3
Manual Section Number
230.4
Manual Section Title
Diagnosis and Treatment of Impotence
Version Number
1
Effective Date of this Version
This is a longstanding national coverage determination. The effective date of this version has not been posted.

Description Information

Benefit Category
Diagnostic Tests (other)
Physicians' Services


Please Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.

Item/Service Description

Impotence is a failure of a body part for which the diagnosis, and frequently the treatment, require medical expertise. Depending on the cause of the condition, treatment may be surgical; e.g., implantation of a penile prosthesis, or nonsurgical; e.g., medical or psychotherapeutic treatment.

Indications and Limitations of Coverage

Program payment may be made for diagnosis and treatment of sexual impotence.  Since causes and, therefore, appropriate treatment vary, if abuse is suspected it may be necessary to request documentation of appropriateness in individual cases. If treatment is furnished to patients (other than hospital inpatients) in connection with a mental condition, apply the psychiatric service limitation described in the Medicare General Information, Eligibility, and Entitlement Manual, Chapter 3.

Additional Information

Other Versions
Title Version Effective Between
Diagnosis and Treatment of Impotence 1 01/01/1966 - N/A You are here