Eros Therapy™ Third-Party Insurance Payer Information

Some insurance plans are providing reimbursement for the Eros Therapy when it is prescribed as a medical necessity due to issues related to insufficient blood flow. The Eros Therapy is usually covered under the Medical Supply or Durable Medical Equipment (DME) benefit.

The indications for use of the 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 the 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

The following HCPCS codes have been suggested to use when billing for the Eros Therapy.

It is responsibility of the care provider to use the proper billing codes. SADMERC has given the Eros Therapy the code L8499, miscellaneous prosthetic device. However, the Eros Therapy 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

UROMETRICS REIMBURSEMENT HOT LINE: 877.774.1442 (toll-free)