Electrical Ultrasound Bone Growth Stimulators Tn Cs
Defines medical necessity criteria for invasive and non-invasive electrical bone growth stimulators and low-intensity pulsed ultrasound (ultrasonic) bone growth stimulators for Tennessee Medicaid and CoverKids, including covered indications, not medically necessary uses, documentation requirements, and applicable billing codes.
Title updated; previously titled 'Electrical and Ultrasound Bone Growth Stimulators (for Tennessee Only)'.
Added language clarifying electrical stimulators are unproven and not medically necessary for indications not listed as proven (including stress fractures).
Revised coverage criteria for ultrasonic bone growth stimulators replacing wording 'date of most recent surgical operation' with 'date of most recent surgical procedure'.
Added medical records documentation language specifying records may be required and what documentation should include.
Updated Clinical Evidence and References sections to reflect current information.