2c661865_trasonic___HealthPartners_Care___Indications_Contraindications
[HCPCS Code] E0747 [Device Name and Manufacturer] OrthoPak 2 Manugacturer: EBI Medical, Inc. Established nonunion acquired secondary to trauma *Note: FDA approved as a single user device
Nonunion of vertebrae or flat bones Width of the nonunion is greater than ½ the width of the bone Recipients with synovial pseudarthrosis Recipients who are not skeletally mature (usually not under age 18) Recipients with pacemakers, unless documentation from the cardiologist establishes that use of the bone growth stimulator is safe and appropriate Recipients whose electrical impedance of the tissue between the electrodes will not allow the device to operate within the prescribed 5 to 10 milliamperes range Recipients with nonunion secondary to, or in conjunction with, a pathological condition Recipients who are pregnant or nursing
Bone stimulators, electronic and ultrasonic – HealthPartners Care
MHCP Non-Covered Indications/Contraindications