Osteogenic Bone Growth Stimulators - MEDICAID - LOUISIANA

This Louisiana Medicaid policy covers noninvasive osteogenic bone growth stimulators (electrical and ultrasonic) to augment bone repair for indications including multi-level spinal fusion (≥3 contiguous vertebrae), failed spinal fusion or repeat fusion at the same site (≥9 months), nonunion long-bone fractures (electrical: failure ≥6 months; ultrasonic: failure documented 90 days after treatment), congenital pseudoarthroses, and failed long-bone fusions (≥9 months). Coverage is limited to electrical and ultrasonic noninvasive devices, requires radiographic documentation with multiple views and a physician interpretation (two sets of radiographs for ultrasonic), enforces the stated time thresholds, and will not reimburse the device as a rental or for noncovered device types.

"No explicit covered indications, diagnoses, conditions, or clinical scenarios are stated in the provided document text."