For non-healing fractures, at least two x-rays 30 days or more apart are required.Īll authorization requests must document that the device is requested for an FDA-approved indication, that coverage criteria listed above are met, and that no contraindications are present. For non-healing spinal fusions, at least two x-rays over the course of three months are required. #Exogen bone stimulator cost serial#If authorization for a rental unit is requested beyond the approved 3 months, new x-rays or radiology reports must be submitted.Īll authorization requests for treatment of nonunion must include serial x-rays which demonstrate that no progressive signs of healing have occurred. Devices approved by the FDA as single-user products will be approved as purchases. Submit authorization requests and documentation to the authorization medical review agent.Īuthorization for noninvasive bone growth stimulators will be approved up to 3 months rental at a time unless the device is approved by the FDA only as a single-user product. Bone growth stimulators are not covered for any indication for which the specific stimulator has not been approved by the Food and Drug Administration.Īuthorization is always required.Bone growth stimulators are not covered for members who have any contraindication listed in the device’s package insert.Low-intensity ultrasound bone growth stimulators are not considered an appropriate and effective use of limited programs funds and are not the least costly, medically appropriate treatment for patients with fresh fractures who do not have the risk factors specified above.Low-intensity ultrasound bone growth stimulators are considered investigative for treatment of open fractures.This is a small price to pay if the Exogen unit allows you to get back to your career or sport sooner. This price is less than the deductible most people will pay if their insurance company agrees to cover a new unit. Low-intensity ultrasound bone growth stimulators for treatment of congenital pseudoarthroses are not FDA approved and are considered investigative A 30 DAY OR 60 USE ( WHICHEVER COMES 1ST ) WARRANTY IS INCLUDED WITH PURCHASE.Invasive bone growth stimulators are considered investigative for any indication other than as an adjunct to spinal fusion.Noninvasive or invasive electrical bone growth stimulators and low-intensity ultrasound bone growth stimulators are considered investigative for treatment of delayed (as opposed to stalled) union fracture.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |