abcbab4d_asound_Bone_Growth_Stimulation__Status
[Date] 08/27/2009 [Action] MPTAC review. Revised title to Ultrasound Bone Growth Stimulation. Clarified medically necessary statement and criterion for fresh fractures, including those at high risk for nonunion; added a Note to criterion for obese patients with reference to a definition for calculation of ideal body weight. Revised medically necessary criteria for fracture nonunion: 1) deleted criterion referencing the investigational and not medically necessary criteria; 2) added criterion addressing the size of the fracture gap, i.e. "the fracture gap is less than 1 centimeter." Revised investigational and not medically necessary criteria: 1) deleted "a bone gap greater than one half the diameter of the bone at the point of nonunion, 2) fresh fractures that are Open Grade II or III or require surgical intervention, 3) fractures involving immature skeletal systems, 4) clarified pathological fracture criterion, 5) added criterion "as an adjunct to bunionectomy," 6) removed *Skeletal maturity definition. Updated Rationale, Definitions, Coding and References. [Status] 
Revised
R e v i e w e d
R e v i s e d
DME.00027 Ultrasound Bone Growth Stimulation
Status