#Iconator bone skin#

See also CPB 0175 - High-Frequency Pulsed Electromagnetic Stimulation.Д«one growth stimulation is utilized to promote bone healing in difficult to heal fractures or fusions by applying electrical or ultrasonic current to the fracture/fusion site.ДЄn electrical osteogenesis stimulator is a device that provides electrical stimulation to augment bone repair. Spondylolysis (also known as pars inter-articularis fracture)ДЄetna considers semi-invasive bone growth stimulators experimental and investigational for all indications including treatment of orthopedic and neurosurgical conditions (e.g., delayed unions, failed spinal fusions, fracture nonunions, fresh fractures, and pseudoarthroses) because of a lack of adequate evidence ofВ their effectiveness.Grade II or worse spondylolisthesis, orДЄetna considers electrical bone-growth stimulators experimental and investigational for the treatment of all other indications, including the following (not an all-inclusive list) because of a lack of adequate evidence of their effectiveness for these conditions:.A multiple level fusion entailing 3 or more vertebrae (e.g., е…ѓ to L5, L4 to S1, etc.), or.Non-unions, failed fusions, and congenital pseudarthrosis where there is no X-ray evidence of progression of healing forВ 3 or more months despite appropriate fracture care, andДЄetna considers direct current electrical bone-growth stimulators, as well as inductive coupling or capacitive coupling non-invasive electrical stimulators medically necessary for any of the following spinal indications:.Delayed unions of fractures or failed arthrodesis at high-risk sites (e.g., open or segmental tibial fractures, carpal navicular fractures, 5th metatarsal fractures, distal radius, and sesamoid bones (fibular sesamoid in the foot), or.

#Iconator bone skin#

Talar dome lesion following osteochondral autograft transfer system (OATS)ДЇootnotes* Grade I indicates that skin opening is 1 cm or less and minimal muscle contusion.ДЄetna considersВ direct current electrical bone-growth stimulators, as well as inductive coupling or capacitive coupling non-invasive electrical stimulators medically necessary for any of the following non-spinal indications:.Pre-operative use for fractures that require surgical intervention or internal or external fixation.

Pathological fractures due to malignancy (unless the neoplasm is in remission).Fractures with post-reduction displacement of more than 50% (i.e., fractures in which the opposing broken bone ends are out of alignment by more than one half of the width of the bone).Aetna considers an ultrasonic osteogenesis stimulator experimental and investigational for all other indications, including the following (not an all-inclusive list) because the medical literature does not support its use for these indications:.Aetna considers an ultrasonic osteogenesis stimulator experimental and investigational for fractures (including lumbar compression fracture, stress fracture and avulsion fracture of the hip), failed fusions, or non-unions of the axial skeleton (skull and vertebrae) because the effectiveness of SAFHS in these fractures has not been determined.The two portions of the involved bone are separated by less than 1 centimeter (cm).Bone is stable on both ends by means of cast or fixation and.Aetna considers an ultrasonic osteogenesis stimulator medically necessary for non-unions, failed arthrodesis, and congenital pseudarthrosis (pseudoarthrosis) of the appendicular skeleton if there has been no X-ray evidence of progression of healing forВ 3 or more months despite appropriate fracture care, and the following criteria are met:.Fractures on these sites are difficult to heal because of poor vascular supply.

This system uses pulsed ultrasound to speed healing.

Fresh fractures, fusions, or delayed unions of the distal radius (Colles fracture) treated with closed reduction and cast immobilization.

Fresh fractures, fusions, or delayed unions of the 5th metatarsal (Jones fracture) or.

Fresh fractures, fusions, or delayed unions of the scaphoid (carpal navicular) or.

Fresh closed or grade I Footnotes* open, short oblique or short spiral fractures, fusions, or delayed unions of the shaft (diaphysis) of the tibia that are treated with closed reduction and cast immobilization or