Osteogenesis Stimulators
L33796
Osteogenesis stimulators are covered only for specific nonunion and failed-fusion indications with strict documentation and timing requirements: non-spinal devices (E0747) for long-bone nonunion (healing ceased >=3 months), failed non-spinal joint fusion (>=9 months), or congenital pseudarthrosis; spinal devices (E0748) for failed spinal fusion (>=9 months), following multilevel fusion, or after prior failed fusion at the same site; ultrasonic devices (E0760) only for nonunion documented by ≥2 radiograph sets ≥90 days apart, excluding skull/vertebrae or tumor-related fractures. Coverage requires pre-submission documentation (signed SWO/WOPD), radiographic proof with treating practitioner interpretation, proof of delivery, and adherence to coding and refill rules (contact no sooner than 30 days before expected depletion, deliver no sooner than 10 days before depletion, and max 3-month supply). Claims missing required documentation or not meeting the stated clinical/time criteria will be denied as not reasonable and necessary.