abcbab4d_asound_Bone_Growth_Stimulation__Status
[Date] 11/20/2008 [Action] MPTAC review. Addition of specific fracture locations to the medically necessary, fresh fracture position statement: 3) Fracture sites at high risk for nonunion due to: location and poor vascular supply (e.g. carpal navicular/scaphoid fractures, Jones/5th metatarsal fracture); fractures associated with extensive soft tissue or vascular damage; Clarified medically necessary criteria for fracture nonunions and added "appropriate imaging studies" to "Serial radiographs or appropriate imaging studies confirm that no progressive signs of healing have occurred." Clarified investigational and not medically necessary criteria: The word "Fresh" and a Note statement were added to the 4th bullet: Fresh fractures that are Open Grade II or III, or require surgical intervention; with or without internal fixation), or are otherwise too unstable for closed reduction/casting (Note: Fractures that are nonunion and have undergone surgical treatment and no longer require surgical intervention should be considered for UBGS applying the criteria in Fracture Nonunions). Updated Discussion, Rationale, Coding, and References. [Status] 
Revised
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DME.00027 Ultrasound Bone Growth Stimulation
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