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

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Documentation for Intermittent Catheters

Documentation for Medicare Guidelines


The standard written order (SWO) must include order quantity and the chart notes must support the SWO 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 SWO.
  • Straight Tip Catheter

    Chart notes must include:

    • 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 include:

    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 include:

    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.

    prescription form

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