2c661865_trasonic___HealthPartners_Care___Indications_Contraindications
[HCPCS Code] E0747 [Device Name and Manufacturer] Physio-Stim Manufacturer: Orthofix Established nonunion acquired secondary to trauma *Note: FDA approved as a single user device
Nonunion of vertebrae or flat bones Nonunion secondary to, or in connection with, a pathological condition Width of the nonunion gap is more than ½ the width of the bone Recipients who have synovial pseudarthrosis Recipients who are not skeletally mature (usually not under age 18) Recipients who have a demand-type pacemaker when the bone growth stimulator will be placed in close proximity to the pacemaker. If a recipient has a pacemaker, documentation from a cardiologist is required.
Bone stimulators, electronic and ultrasonic – HealthPartners Care
MHCP Non-Covered Indications/Contraindications