decisionhealth Newsletters, Answer Books - 2007 Issue 1 (January)
National_Coverage_Determinations_Manual / NCD 160.26
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Article Overview
This NCD summary explains the Medicare coverage status of cavernous nerve electrical stimulation with penile plethysmography, also referred to as cavernosal nerve mapping, in the context of nerve-sparing surgical procedures. It is useful for coders, compliance staff, and clinicians who need to understand the general scope of the determination, the affected clinical setting, and the effective date and review history noted in the manual entry.
Why This Topic Matters
Coverage determinations affect whether a service is considered payable under Medicare and help organizations align documentation, billing, and compliance workflows with current national policy.
Article Sections
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A. General
Provides background on the procedure and the clinical setting in which it may be considered during surgery. It describes the general purpose of assessing nerve function using electrical stimulation and plethysmography.
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B. Nationally Covered Indications
States the national coverage position for this determination section.
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C. Nationally Non-Covered Indications
Summarizes the Medicare noncoverage status and the effective date associated with the determination. It also notes the review basis referenced by CMS.
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D. Other
Points readers to an additional related manual reference and notes the review timing for the NCD.
What You Will Learn
- The general topic addressed by the Medicare national coverage determination
- The clinical context in which the service is discussed
- The type of policy status assigned to the service
- The effective and review timing referenced in the manual entry
- Where the manual points readers for a related topic
Who Should Read This
- Medical coders
- Compliance professionals
- Revenue cycle teams
- Clinicians involved in surgical procedures
- Health information management staff
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