Insurance Codes
Some insurance plans are providing reimbursement for the Eros Therapy device when it is prescribed as a medical necessity due to issues related to insufficient blood flow. The Eros Therapy device is usually covered under the Medical Supply or Durable Medical Equipment (DME) benefit. The indications for use of Eros Therapy include: - Greater clitoral and genital engorgement
- Increased vaginal lubrication
- Enhanced ability to achieve orgasm
- Improved overall sexual satisfaction
The following ICD-9 codes may be appropriate when prescribing Eros Therapy. 625.8 Other specified symptoms associated with female genital organs
625.9 Unspecific symptoms associated with female genital organs
627.4 States associated with artificial menopause
627.9 Unspecified menopausal and post menopausal disorders
629.8 Other specified disorders of female genital organs
629.9 Unspecified disorder of female genital organs It is the responsibility of the care provider to use the proper billing codes.
SADMERC has given the Eros Therapy device the code L8499, miscellaneous prosthetic
device. However, the Eros Therapy device has been reimbursed by private insurance
companies under HCPCS codes L7900, E1399 and L8499 for individual consideration
with a letter of medical necessity. Distributor Controlled Inventory Numbers (CINs) | McKesson | | 1214998 | | Cardinal | | 2968972 | | Bindley Western Drug | | 601-381 | | Bergen Brunswig | | 901876 | | D & K Healthcare | | 803650 | | Wright & Filipis | | 7685001 |
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