Does Medicare Cover Urodynamic Testing?

About

Medicare 101

Current Clients

Does Medicare Cover Urodynamic Testing?

Senior person holding tissue roll near a toilet bowl, using walker to walk to the bathroom stock photo

By Daniel Petkevich

Dec 2, 2022

Do you meet the requirements?

Good news if you're looking for Medicare coverage of urodynamic testing. You will not have to pay the full price out-of-pocket, since Medicare offers coverage as long as you meet certain stipulations. Do you meet one of the requirements? Let's find out.

Stay Up to Date on Medicare!

What is urodynamic testing?

Urodynamic testing is a procedure used to measure bladder and urethra pressure while they are being filled with fluid. It helps doctors diagnose issues such as overactive bladder, incontinence, and other urinary tract problems.

What are the Medicare requirements for urodynamic testing?

Medicare coverage of urodynamic testing kicks in when when you have signs or symptoms of a urinary tract disorder, such as urgency, frequency, incontinence, retention, or obstruction. In addition, your doctor must also order the test in writing and provide clinical justification for why it's necessary. If any of the following apply, you could also qualify for a test.

Failure to respond to a therapeutic trial deemed adequate
Consideration of surgical intervention
Uncertain diagnosis and inability to develop a treatment plan on existing information

If you have Medicare coverage, you still might have out-of-pocket expenses based on your specific plan. You could pay up to 20% of the Medicare-approved amount on Part B. Contact your plan provider to see how much you would have to pay.

How to find a doctor who offers urodynamic testing?

If you meet the requirements for Medicare coverage of urodynamic testing, your next step is to find a provider who offers this service. Your first stop should be your primary care doctor or your urologist. If they do not offer the testing, ask them for a referral to someone in your area who does. You can also search online for providers in your area.

How to schedule an appointment for urodynamic testing

Once you find a provider that offers urodynamic testing, you can contact them directly to schedule an appointment. Many providers offer online or phone booking, so this should be relatively easy. Be sure to ask about any requirements for the appointment and what paperwork or tests you may need beforehand.

What to expect during your appointment

During your appointment, the urodynamic testing will be explained in more detail. Generally, it is a painless procedure that involves inserting a catheter into the bladder to measure pressure. Depending on your individual condition and needs, additional tests might be required during or after the appointment.

Finally, make sure to get a copy of the results from your appointment. This will include the data collected during the test, as well as any recommendations for treatment.

What are the possible results of urodynamic testing?

The results of urodynamic testing can help your doctor diagnose and treat issues such as urinary tract infections, overactive bladder, incontinence, and other bladder problems. Depending on the results of the test, your doctor may recommend lifestyle changes or medications to manage symptoms. In some cases, surgery might be recommended if the condition is serious enough.

What are the potential risks and side effects of urodynamic testing?

The risks of urodynamic testing are typically minor. Possible side effects include discomfort, infection, bleeding, and temporary urinary incontinence. Your doctor will be able to discuss the risks with you in more detail during your appointment or beforehand.

Conclusion

Medicare coverage of urodynamic testing can help you get the diagnosis and treatment you need for urinary tract disorders. You must speak with your doctor to ensure this test is right for you. This content is for informational purposes only. You can always call Fair Square Medicare for any Medicare questions you might have. Our team of experts is ready for you.

Stay Up to Date on Medicare!

Your Medicare One-Stop-Shop

Your guide to Medicare Parts A & B, Medicare Advantage, and Medigap. 100% free.

Get the Fair Square Bulletin

Medicare savings tips, helpful guides, and more.

888-572-6033

[email protected]

About

Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans

Fair Square 2023

•

Notice of Privacy Practices

Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2022 Help Button Inc

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

MULTIPLAN_FairSquareMedicare_01062022_M

Does Medicare Cover Urodynamic Testing?

Do you meet the requirements?

Stay Up to Date on Medicare!

What is urodynamic testing?

What are the Medicare requirements for urodynamic testing?

How to find a doctor who offers urodynamic testing?

How to schedule an appointment for urodynamic testing

What to expect during your appointment

What are the possible results of urodynamic testing?

What are the potential risks and side effects of urodynamic testing?

Conclusion

Stay Up to Date on Medicare!

Recommended Articles

More of our articles

Your Medicare One-Stop-Shop

About

Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans