Sacral Nerve Stimulation for Treatment of Fecal Incontinence

Fecal incontinence (FI) is a condition whereby passage of solid or liquid feces through the anal canal is not sufficiently restricted. Sacral nerve stimulation may be an effective treatment alternative for patients with severe FI who do not respond to conservative treatments.  However, the procedure carries risks for complications, and it is not effective for every FI patient.

Coverage decision: Covered with conditions (Effective date: September 1, 2017)

Authorization requirements

Is authorization required?

How do I get pre-authorization?


L&I (State fund): request Utilization Review provided by Qualis

Contact the employer or its third party administrator


Regulatory authority and related information



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