Electrical and Ultrasonic Bone Growth Stimulators (for New Mexico Only)
This policy governs coverage and medical necessity criteria for invasive and non-invasive electrical and ultrasonic bone growth stimulators for members in New Mexico.
Title changed from 'Electrical and Ultrasound Bone Growth Stimulators (for New Mexico Only)' and coverage rationale for electrical bone growth stimulators and ultrasonic bone growth stimulators clarified and revised.
Added language clarifying that invasive or non-invasive spinal electrical bone growth stimulators are proven and medically necessary as adjuncts to lumbar spinal fusion when two listed criteria are met and unproven/not medically necessary for other indications.
Revised coverage criteria for Ultrasonic Bone Growth Stimulators related to timing since most recent surgical procedure.
Added explicit language that medical records documentation may be required to assess whether the member meets clinical criteria and that documentation must support medical necessity.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.