Anthem Blue Cross Connecticut MED.00143 Ingestible Devices for the Treatment of Constipation Form

This document addresses the use of ingestible devices as a nonpharmacological treatment of constipation. The capsule shaped devices mechanically stimulate the colon via vibrations with the goal of triggering a bowel movement. Internal mechanical stimulation has been proposed as an alternative second-line treatment of constipation following failure of laxative therapy.  

Note: The non-pharmacological treatment of constipation is also addressed in the following document:

• MED.00125 Biofeedback and Neurofeedback
• MED.00141 High-volume Colonic Irrigation

Position Statement

Investigational and Not Medically Necessary:

Ingestible devices for the treatment of constipation are considered investigational and not medically necessary.