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US · guidance

CMS Pub. 100-03, ch. 1, § 30.1.1

Biofeedback Therapy for the Treatment of Urinary

activein force · 2026-08-25 – presentas-observed

Incontinence

(Rev. 1, 10-03-03)

CIM 35-27.1

Biofeedback Therapy for the Treatment of Urinary Incontinence

This policy applies to biofeedback therapy rendered by a practitioner in an office or other

facility setting.

Biofeedback is covered for the treatment of stress and/or urge incontinence in cognitively

intact patients who have failed a documented trial of pelvic muscle exercise (PME)

training. Biofeedback is not a treatment, per se, but a tool to help patients learn how to

perform PME. Biofeedback-assisted PME incorporates the use of an electronic or

mechanical device to relay visual and/or auditory evidence of pelvic floor muscle tone, in

order to improve awareness of pelvic floor musculature and to assist patients in the

performance of PME.

A failed trial of PME training is defined as no clinically significant improvement in

urinary incontinence after completing four weeks of an ordered plan of pelvic muscle

exercises to increase periurethral muscle strength.

Contractors may decide whether or not to cover biofeedback as an initial treatment

modality.

Home use of biofeedback therapy is not covered.

History

(Rev. 1, 10-03-03)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
1fbd5aa4821d3ca6b8a2720ea690475dd765e2d24f2f06089f1212b2459727b5
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