Urology Solutions for Healthcare Professionals

Byram healthcare is a leading provider of urology supplies for people who catheterize at home.

Our goal is to ensure people who catheterize at home resume a healthy, normal lifestyle. We provide Convenience, Affordability and Choice™ to make a positive difference in the lives of the people we serve.

Patient Referral

Documentation for Intermittent Catheters

The detailed written order (DWO) must include catheterization frequency per day and the chart notes must match the frequency that is on the DWO form.

  • Chart notes for the patient need to be within the 12 months of the date the patient is supplied.
  • Chart notes need to be signed and dated by the prescriber. No other signatures are accepted.
  • The physician’s plan of care within the medical records should match the plan of care within the DWO.
  • Straight Tip Catheter

    Chart notes must be included…

    • The medical condition of permanent urinary incontinence or permanent urinary retention.
    • The prescribing physician must have medical records supporting a permanent impairment of urination. A permanent condition is expected to last at least 3 months or more. This does not require a determination that there is no possibility of the patient’s condition improving in the future. The plan of care must indicate the type of catheter being used.
    • The physician’s plan of care within the medical records should match the plan of care within the DWO.

    Coude Tip Catheter

    Chart notes must be included…

    Same as Straight Tip Catheter

    • Documentation in the chart notes indicating that the patient is unable to pass a straight catheter and requires a coude-tip catheter.
    • Please note that a diagnosis is not sufficient on its own.

    Closed Systems

    Chart notes must be included…

    Same as Straight Tip Catheter 

    One of the following conditions must be met and documented within the prescribing physician’s medical records:

    1. Two distinct UTI’s (Urinary Tract Infections) within a 12-month period while on a program of intermittent catheterization or

        Examples of accepted UTI symptoms, or

    • Fever (oral temperature greater than 38º C [100.4º F])
    • Systemic leukocytosis
    • Change in urinary urgency, frequency, or incontinence
    • Appearance of new or increase in autonomic dysreflexia (sweating, bradycardia, blood pressure elevation)
    • Physical signs of prostatitis, epididymitis, orchitis
    • Increased muscle spasms
    • Pyuria (greater than 5 white blood cells [WBCs] per high-powered field)

    2. Patient resides in a nursing facility as their primary residence, or 

    3. is immunosuppressed, for example, or

    • On a regimen of immunosuppressive drugs post-transplant
    • On cancer chemotherapy
    • Has HIV or AIDS
    • Has a drug-induced state such as chronic oral corticosteroid use

    4. patient is a spinal cord injured female with neurogenic bladder who is pregnant (covered for the duration of pregnancy only).

    Refer a Patient

    Byram has several options to make it easy for you to refer a patient.

    Managed Care

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