What are the treatment options for Impotence (ED)?
- PDE5 Inhibitors, i.e., Viagra®, Cialis®, Levitra®
- Other Oral Prescription Medications
- Injection Therapy
- Urethral Insertion Tablets
- Vaccum Therapy
- Surgical Implants (Penile Implants)
Why not just take Prescription Medications to Treat Erectile Dysfunction (ED)?
Prescription Medications oftens times do not work. They can also be associated with side effects such as shortness of breath, headaches, dizziness, congestion, blurred vision & even blindness. You also have to consider the cost associated with these drugs as they are often not covered by insurance or Medicare and can be very expensive.
Why should I consider Vacuum Therapy for the treatment of Erectile Dysfunction (ED)?
The Encore Revive Premium Vacuum Therapy System is a proven therapy for the treatment of ED (95% effective)(1). While Vaccum therapy is not new, it is still the safest, easiest & effective treatment available for Impotence. Furthermore, there are no contraindications associated with Vacuum Therapy & it’s proven to deliver everytime.
Vacuum Therapy is the only ED treatment covered by Medicare and is accepted as a viable option by the American Urological Association. Don’t let the embarrassment or shame of ED keep you from being intimate again. Take control of your love life and restore your intimacy.
Fact
Encore sells more vacuum systems than all our competitors combined. We are also the oldest and most trusted company in the erectile dysfunction field. Encore’s Impoaid and Revive Premium System is a simple, safe & non-surgical treatment for Erectile Dysfunction providing proven results (over 95% effective)
References
1) Korenman SG, Viosca SP, Kaiser FE, et al. Use of a vacuum tumescence device in the management of impotence. Journal of the American Geriatrics Society. 1990;38:217-220.
What is Erectile Dysfunction (ED)?
Erectile dysfunction, sometimes called impotence, is defined as having a consistent problem getting and/or keeping an erection sufficient enough for you to complete sexual intercourse.
How many people have ED?
ED is a very common condition. An estimated 152 million men worldwide suffer from ED There is an estimated 30 million men in the United States alone. If you have erectile dysfunction or suspect that you do, you’re one of millions of men around the world with this highly treatable condition.
Is it all in my Mind?
Although in the past ED was commonly believed to be due to psychological problems, it is now known that 80 to 90 percent of impotence is caused by physical conditions, usually related to the blood supply to the penis. While many advances have occurred in both the diagnosis and treatment of ED only a small percentage of men with erectile dysfunction are currently being treated. Fortunately, that’s changing. Of all the options for men with Ed, Vacuum Therapy is still the safest, most reliable treatment and is covered by Medicare
Causes of ED
- High Blood Pressure
- Heart Disease & High Cholesterol
- Diabetes
- Prostate Cancer Treatment (Radical Prostatectomy and/or Radiation)
- Certain Prescription Medications
- Smoking
- Kidney disease
- Chronic alcoholism
- Multiple sclerosis
- Depression
Is ED a normal part of getting older?
As men age, men may notice that it takes longer to get an erection and that their erections may not be as hard as they used to be or that it takes longer to climax. These are normal changes related to aging and should not be confused with Impotence. ED is NOT a normal part of aging. If ED does occur, the good news is that it is highly treatable with Vacuum Therapy.
I’ve heard that some Pescription Medications can cause ED – is this true?
Yes, some Prescriptions Medications that taken for other reasons may cause erectile dysfunction. Medications used to treat high blood pressure, heart disease, allergies, depression, anxiety, eating disorders, and ulcers can cause Erectile Dysfunction.
What else can cause ED?
Some “lifestyle habits” can affect healthy sexual function as well, i.e., smoking, drinking too much alcohol and obesity.
How can I prevent ED?
Taking very good care of your health and making life style changes will help in preventing ED.
Break-In instructions for new shoes.
Congratulations on receiving your new shoes. In accordance with Medicare regulations, they have been selected from our own inventory, from another company or have been fabricated to provide you with optimum comfort and protection. In order to receive the greatest benefits from this footwear, please follow these suggested guidelines.
Getting used to your shoes
People with decreased feeling in their feet may have a false sense of security as to how much at risk their feet actually are. An ulcer under the foot can develop in a couple of hours even if the shoes are expertly fit. In order to best avoid any irritation, please adhere to the following break-in schedule:
| FIRST DAY |
Wear One Hour |
| SECOND DAY |
Wear Two Hours – Check feet after first hour |
| THIRD DAY |
Wear Three Hours |
| FOURTH DAY |
Wear Four Hours – Check feet after two hours |
| FIFTH DAY |
Wear Full Day – Check after lunch |
- IF AT ANY TIME YOU SEE RED SPOTS OR DARKNESS ON THE TOES OR OTHER BONY AREAS DURING THE FIRST FIVE DAYS: Discontinue wearing the shoes for the rest of the day and start routine again the next day beginning with one hour of wear.
- IF A RED SPOT OR DARKNESS APPEARS WITH EVERY WEARING – DO NOT WEAR SHOES. Call our office for an adjustment appointment.
- BE SURE TO INSPECT YOUR FEET EVERY DAY.
Follow-Up
You should have regularly scheduled visits with our office. Please direct any questions about the items received today to this office. Billing questions may be directed to your Medicare carrier. Every four months get rid of the inserts in your shoes and put in a new pair. In one year, you will receive a reminder to return to our office to evaluate the condition of these shoes.
Return Policy
Shoes that are unsuitable may be returned within four weeks of dispensing. The shoes must be in good condition, i.e., no scuffmarks, outside dirt or obvious wear on the soles. We strongly urge you to wear these shoes in your home for the first week. Substandard shoes may also be returned as all warranties, expressed and implied under applicable State law will be honored.
What Is Covered by Medicare?
Medicare covers 80% of the cost of the following (per year):
- One pair of Depth Shoes.
- 3 pair of inserts.
Billing Codes
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe.
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| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient’s foot, including arch, base layer minimum of ¼ inch material of shore a 35 durometer, or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each.
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| A5513 |
For diabetics only, multiple density insert, custom molded from model of patient’s foot, total contact with patient’s foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher, includes arch filler and other shaping material, custom fabricated, each.
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Toe Filler
L5000 |
Partial foot, shoe insert with longitudinal arch, toe filler (Inserts for missing toes or partial foot amputation). |
| (A5500, A5512 and A5513).(A |
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Code Modifiers: |
| KX |
Specific required documentation on file |
| LT |
Left side |
| RT |
Right side |
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| Coverage – Diabetic shoes, inserts and/or modifications are covered if the following criteria are met: |
| 1) |
Patients who have diabetes mellitus (ICD-9-CM diagnosis code 250.00-250.91) and: |
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| 2) |
This patient has one or more of the following conditions: |
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a. History of partial or complete amputation of the foot. |
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b. History of previous foot ulceration. |
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c. History of pre-ulcerative callus. |
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d. Peripheral Neuropathy with evidence of callus formation. |
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e. Foot deformity. |
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f. Poor circulation. |
3) The certifying physician, who is managing the patient’s systemic diabetes condition has certified that indications (1) and (2) are met and that he/she is treating the patient under a comprehensive plan of care for his/her diabetes and that the patient needs diabetic shoes. The certifying physician must be an M.D. or D.O.
This policy requires that the certifying physician, providing the medical care for the diabetic condition must sign a statement that the conditions stated above are met.
The prescribing physician may be a podiatrist, M.D. or D.O. and should write the order for the therapeutic shoes, modifications, and inserts.
The supplier, the person or entity furnishing the shoes, modifications, or inserts may be a podiatrist, pedorthist, orthotist, prosthetist, or other qualified individual. The supplier should bill Medicare for the service.
