Item Covered Denied CMN SOP Item Information
• Foley Catheter X X

Covered by Medicare if prescribed by a physician for permanent urinary incontinence, the Foley catheter is covered under the prosthetic device benefit.

One catheter a month is covered for routine catheter maintenance. Non-routine catheter changes are covered when documentation from physician substantiates medical necessity.

The test of permanence is considered met on a condition lasting at least three months.