Electrical Bone Growth Stimulation of the Appendicular Skeleton

This policy covers electrical bone growth stimulation (EBGS) of the appendicular skeleton to promote healing for delayed unions, fracture nonunions, failed arthrodesis/fusion, and congenital pseudoarthrosis—generally when there is no clinical or radiographic progression of healing for at least 3 months (or by FDA nonunion criteria). Coverage is limited to appendicular sites and is subject to the member’s benefit plan and state rules; many other uses (eg, fresh fractures <14 days, stress fractures, immediate postoperative treatment) and implantable/semi‑invasive EBGS approaches are considered experimental, investigational, or unproven.

"Delayed unions of fractures or failed arthrodesis at high-risk sites (examples: open or segmental tibial fractures, carpal navicular fractures, 5th metatarsal fractures, distal radius fractures)."

Sign up to see full coverage criteria, indications, and limitations.