2c661865_trasonic___HealthPartners_Care___Indications_Contraindications
[HCPCS Code] E0747 [Device Name and Manufacturer] OL1000 Manufacturer: di Orthopedics, LLC Established nonunion acquired secondary to trauma *Note: FDA approved as a single user device
Nonunion of vertebrae or flat bones Recipients with synovial pseudarthrosis Recipients who have demand-type pacemakers, unless documentation from the cardiologist establishes that the use of the bone growth stimulator is safe and appropriate Recipients who have external or internal fixation devices that are constructed from magnetic materials Recipients who are not skeletally mature (usually not under age 18) Recipients who are pregnant or nursing Recipients with nonunion secondary to, or in conjunction with, a pathological condition Recipients with mental or physical conditions which preclude patient compliance with the physician and device instructions Recipients with conditions of atrophy
Bone stimulators, electronic and ultrasonic – HealthPartners Care
MHCP Non-Covered Indications/Contraindications