US · guidance
CMS Pub. 100-04, ch. 32, § 110.1
Coverage Requirements
Effective for dates of service on and after April 27, 2005, ultrasonic osteogenic stimulators are covered as
medically reasonable and necessary for the treatment of nonunion bone fractures prior to surgical intervention.
In demonstrating nonunion fractures, CMS expects:
• A minimum of 2 sets of radiographs, obtained prior to starting treatment with the osteogenic
stimulator, separated by a minimum of 90 days. Each radiograph set must include multiple views of
the fracture site accompanied with a written interpretation by a physician stating that there has been no
clinically significant evidence of fracture healing between the 2 sets of radiographs.
For further coverage information, please refer to the National Coverage Determinations Manual, Pub. 100-03,
chapter 1, section 150.2.
History
(Rev. 597, Issued: 06-24-05, Effective: 04-27-05, Implementation: 08-01-05)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
6d77d438e61625fea76fcb4f29dc24a0b7b5268e67e611620fc442020ead84a0
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