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Bone growth stimulators

Bone growth stimulation (BGS) is a covered service for State Fund, Self-Insured and Crime Victims claims consistent with the following criteria:

BGS coverage is now consistent with Medicare's national coverage decision. In addition, ultrasonic BGS is covered for treatment of fresh fractures that are at high risk of non-union. For BGS used as an adjunct to another treatment, the primary treatment must be a covered service. See complete criteria in the Coverage Decision.

Invasive devices are implanted surgically; non-invasive devices are worn externally.

Authorization requirements


Is authorization required?

How do I get pre-authorization?

Yes

L&I (State fund):
Contact the claims manager

By phone: To get the claims manager’s phone number, call the Claim Information line (800-831-5227)

By secure email: If you are the attending physician, IME, or concurrent care provider, log into to the Claims & Account Center (CAC)

Self-insured:
Contact the employer

Related information on coverage and treatment

L&I has prepared coverage criteria for the use of bone growth stimulators

Billing and payment policies

Related rules

 

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