Healthcare common procedure coding system code e0747 0010,osteogenesis stimulator, electrical, noninvasive, other than spinal applications. Each lg7500 digital muscle stimulator comes complete with standard accessories and the standard labels as given below. Check y for yes, n for no, or d for does not apply. Inpatient intensive rehabilitation hospital services are covered for eligible. Used orthofix, 2505, bone growth stimulator for sale. Mhcp provider manual equipment and supplies bone growth. A nonspinal electrical osteogenesis stimulator will be denied as not medically necessary if none of the criteria above. E0747 osteogenesis stimulator, electrical, noninvasive. Biomet orthopak noninvasive bone growth stimulator system. Cmf ol bone growth stimulators are portable, batterypowered medical devices indicated for use in the noninvasive treatment of an established nonunion fracture acquired secondary to trauma, excluding all vertebrae and flat bones. Bone growth stimulators medical clinical policy bulletins. Noninvasive bone growth stimulator system are partially charged prior to being packaged. Failure to follow instructions can cause harm to user or device. Electrical bone growth stimulators are a supplemental form of therapy to help enhance the bodys bone healing process a process that is absolutely essential for the success of any type of spinal fusion surgery.
Ofix5000001 orthofix pemf device user manual model 5212. Smallest and lightest bone growth stimulation device on the market, designed with. Orthofix bone growth stimulator after lumbar fusion surgery. I ndicated as an adjunct electromagnetic treatment to primary lumbar spinal fusion surgery for one or. Original box, wall charger, pad, owners manual never opened. Cervicalstim is the only osteogenesis stimulator approved by the u. This is perfect for when you want to get back on your feet quickly, but also if you want to prevent an operation. Patientworn bone growth electromagnetic stimulator a batterypowered, bodyworn device designed to apply an electrical stimulus directly to bone to promote bone formation i. Osteogenesis stimulator, electrical, noninvasive, other than spinal applications. A nonspinal electrical osteogenesis stimulator e0747 is covered only if any of the following criteria are met. Human bone is actually a living tissue and, like skin, has the inherent ability to heal itself when broken or injured.
The icd9 to icd10 crosswalk resulted in a policy that was very long and unwieldy. It is expected providers retain or have access to appropriate documentation when requested to. The ncd and lcd for osteogenesis stimulators both mandate that coverage for a nonspinal electrical osteogenesis stimulator e0747 is covered for nonunion of a long bone fracture defined as radiographic evidence that fracture healing has ceased for three or more months prior to starting treatment with the osteogenesis stimulator criteria 1. The device is lightweight, adjustable, and portable, including a rechargeable battery that allows freedom of movement during treatment. Bone stimulators, electronic and ultrasonic healthpartners care. Osteogenesis stimulator policy revision frequently asked questions. Spinalstim has high success rates for spinal fusion. The biomet orthopak noninvasive bone growth stimulator system is indicated for the treatment of an established nonunion acquired secondary to trauma, excluding vertebrae and all flat bones, where the width of the nonunion defect is less than onehalf the width of the bone to be treated. Invasive stimulations that directly stimulate a fracture site through an implanted electrode and connected to a power pack. Your doctor will decide how long weeksmonths your overall length of treatment will be. The percutaneous direct current bone growth stimulator is partially invasive, allows patient mobility, can be used with magnetic fixation devices, and can be monitored for proper function, but it requires an operation, cannot be used where infection exists, and is subject to breakage. Coverage for ultrasound and noninvasive electrical bone growth stimulators varies across plans. An accessory available to the patient is a user friendly mobile application which. Treatment time the cervicalstim should be worn for four hours each day.
Osteogenesis stimulator policy revision frequently asked. With an overall clinical success rate of 92 percent, spinalstim provides a 36 percent increase in lumbar fusion success when used adjunctively to surgery. How an electrical bone growth stimulator helps with spine. Product qty tks4040 40 x40 mm adhesive electrodes 4 pieces ke26 electrodes leads 2 pieces 9 v battery 1. Aetna considers the use of an ultrasonic osteogenesis stimulator e. Bone growth osteogenesis stimulators are used to stimulate bone growth. Safety of powered muscle stimulators for use during. Spinalstim stimulator is an external device that generates a pulsed electromagnetic field pemf as a nonsurgical, prescription treatment to increase the chances of a successful fusion.
Document includes user manual user manual model 5212. View and download orthofix cervicalstim user manual online. The three electrical stimulation systems available for treating nonunion of long bones are successful in approximately 85% of cases. Spinalstim osteogenesis stimulator 24 pages summary of contents for orthofix cervicalstim. Bcbsnj medical policy for treatment policy number 008. Noninvasive bone growth stimulator system device, it is recommended that you take the second battery pack, place it into the charger, and charge fully.
Medicare part c medical coverage policy electrical. Orthofix pemf device user manual model 5212 details for fcc id 2ahvnofix5000001 made by orthofix inc. Cmf don joy djo ol stimulator with straps manual in case pre owned. Osteogenesis stimulator, electrical, noninvasive, spinal applications. Use of an ultrasonic osteogenesis stimulator for the treatment of a fresh fracture or delayed union will be denied as. To obtain a copy of the current instructions for use ifu for full prescribing. R1600 august 5, 2004 pursuant to 42 cfr part 482 in a rehabilitation center, licensed in accordance with title 22, ccr, sections 7059570603. Federal law usa restricts this device to sale by or on the order of a physician 2. With an overall clinical success rate of 80 percent up to 88 percent for fracture gaps less than 3mm, physiostim has high success rates for treating nonunion fractures.
An ultrasonic osteogenesis stimulator will be denied as not medically necessary if any of the criteria above are not met. Orthofix 2505 spinal osteogenesis stimulator manual. For complete prescribing information including contraindications, warnings, and precautions, please refer to the biomet ebi bone healing system physician manual and package insert or patient manual pn106822000 or pn106824300 or call 18005262579 extension 6000. Devices that use electrical stimulation to augment bone repair. Cms program integrity manual, internetonly manual, cms pub. This is for partsrepair this will not work properly. Bone growth osteogenesis stimulators are used to stimulate bone growth and healing of fractures when healing has stalled. The biomet orthopak noninvasive bone growth stimulator system is indicated for the treatment of an established nonunion acquired secondary to trauma, excluding vertebrae and all flat bones, where the width of the nonunion defect is less than onehalf the width of the bone to be treated p850022s017. However, it wasnt until the 1950s that scientists made an important discovery. In the meantime, you may use the first battery pack to begin your treatment immediately. The devices stimulate the bones natural healing process by sending lowlevel pulses of electromagnetic energy to the injury or fusion site. Orthofix spinalstim bone growth stim pain rehab products.
Electrical stimulators osteogenesis 4 and symptoms associated with arthritis. E0747 osteogenesis stimulator, electrical, noninvasive, other than spinal applications e0748 osteogenesis stimulator, electrical, noninvasive, spinal applications. E0748 osteogenesis stimulator, electrical, noninvasive, spinal applications hcpcs code e0748 the healthcare common prodecure coding system hcpcs is a collection of codes that represent procedures, supplies, products and services which may be provided to medicare beneficiaries and to individuals enrolled in private. My iphone cost 250 dollars and is a miraculous handheld hi res computer capable of hundreds of useful tasks. Osteogenesis stimulators l11490 indications and limitations of. Pulsed electromagnetic field pemf osteogenesis stimulation is a safe, nonsurgical, prescription treatment to heal nonunion fractures and promote spinal fusion. Orthofix 2212 spinal stim osteogenesis stimulator this comes with the unit, the box, the charger cord and the manual. Orthofix physiostim bone growth stim pain rehab products.
The transducer, shown in figure 2 on page 2 is an applied part. Bone growth stimulators cervicalstim osteogenesis stimulator cervicalstim is the only osteogenesis stimulator approved by the u. An ultrasonic osteogenesis stimulator will be denied as not reasonable and necessary if it is used with other noninvasive osteogenesis stimulators. E0747 osteogenesis stimulator, electrical, noninvasive, other than spinal applications hcpcs code e0747 the healthcare common prodecure coding system hcpcs is a collection of codes that represent procedures, supplies, products and services which may be provided to medicare beneficiaries and to individuals enrolled in private. Ncds, and other medicare manuals for the purposes of determining coverage. View and download orthofix ss5212 instruction manual online. Electrical bone growth stimulation is a medical technique to promote bone growth in difficult. It charges and appears to hold a charge this has an error message e02. The noninvasive stimulator device is covered only for the following indications. Physiostim provides a safe, noninvasive option for treating fractures that are difficult to heal. A spinal electrical osteogenesis stimulator e0748 is covered only if. The percutaneous direct current bone growth stimulator is partially invasive, allows patient mobility, can be used with magnetic fixation devices, and can be monitored for. Osteogenesis stimulator devices to accelerate the healing. Electrical currents have been used to heal bones since the mid1800s.
How an electrical bone growth stimulator helps with spine fusion. Original effective date for services performed on or after 10012015. Cervicalstim osteogenesis stimulator model 2505 device life the cervicalstim can provide you with up to 270 daily treatments of four hours each. Cervicalstim personal care products pdf manual download. It is intended to generate an electromagnetic em field and its associated induced voltage effects around a fracture or fusion site. Ultrasonic osteogenic stimulators may not be used concurrently. Noridian healthcare services, llc, the local dme medicare carrier for jurisdiction ja, has determined that an ultrasonic osteogenesis stimulator e0760 is covered when lcd l33796 criteria is met.
Nonspinal electrical osteogenesis stimulator os e0747 is only covered if any of the following criteria are met. This djo bone stimulator basically shows 2 numbers on a low res cheap display, then a smiley face, and a beep or 2, while sending some low amp current to a cheap magnet and they are selling it for 4k. October 2015 osteogenesis stimulator policy revision faqs question 1. Form approved omb department of health and human services no. Why have the diagnosis codes been removed from the revised policy. A bone growth stimulator is a supplemental device worn following cervical neck or lumbar low back spine surgery. Orthofix bone growth therapy devices provide a safe, noninvasive treatment that helps promote healing in fractured bones and spinal fusions that have not healed or have difficulty healing.
Click on a question to expand or show all close all. Upon receipt of the biomet orthopak noninvasive bone growth stimulator system device, it is recommended that you take the second battery pack, place it into the charger, and charge fully. Food and drug administration fda as a noninvasive, adjunctive treatment option for cervical fusion. Bone growth stimulators are considered class iii medical devices by the food and drug administration, and should only be used in a way that is consistent with the fda approved package insert. Nonunion of a long bone clavicle, humerus, radius, ulna, femur, tibia, fbula, metacarpal, or metatarsalfracture defned as xray evidence that fracture healing has ceased for three or more. October 2015 osteogenesis stimulator policy revision faqs. Orthofix pemf osteogenesis stimulators generate a uniform, lowlevel, pulsed. E0748 osteogenesis stimulator, electrical, noninvasive. Orthofix pemf stimulation pulsed electromagnetic field pemf osteogenesis stimulation is a safe, nonsurgical, prescription treatment to promote spinal fusion and heal nonunion fractures. Pulsed electromagnetic field pemf osteogenesis stimulation is a safe, nonsurgical, prescription treatment to promote spinal fusion.
If authorization for a rental unit is requested beyond the approved. Related manuals for orthofix cervicalstim personal care products orthofix ss5212 instruction manual spinalstim osteogenesis stimulator 24 pages. Refer to the supplier manual for additional information on documentation requirements. Orthofix bone growth stimulator after lumbar fusion. Ultrasonic osteogenic stimulators may not be used concurrently with other noninvasive osteogenic devices. Patient guide to bone growth stimulation spineuniverse. Orthofix 212l spinal stim lite manual physical therapy. The crosswalked policy was also lacking diagnosis codes for. According to lcd l34821 there is insufficient evidence to support that any indication for these devices or any related accessoriessupplies are medically reasonable and necessary. The ossatec bone growth stimulator enhances this process by stimulating the production of new cells, which will allow your fracture to. Be sure to comply with all cautions and warnings in the manual.
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