Harvard Pilgrim is updating our medical policy for extracorporeal magnetic innervation (ExMI) therapy for urinary incontinence. ExMI is a noninvasive therapy involving pulsed magnetic stimulation of the sacral nerves and/or pudendal nerves, with the goal of rehabilitating the pelvic floor musculature to reduce urinary incontinence.
Harvard Pilgrim considers ExMI to be experimental/investigation and does not cover the procedure. Effective July 15, 2017, Harvard Pilgrim is updating the policy to include the following code as not covered:
E0740 – Non-implanted pelvic floor electrical stimulator, complete system
For more information, please refer to the updated Extracorporeal Magnetic Innervation (ExMI) Therapy for Urinary Incontinence Medical Policy.