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): By phone: To get the claims manager’s phone number, call the Claim Information line (1-800-831-5227) By secure email: If you are the attending physician, IME, or concurrent care provider, log into to the Claims & Account Center (CAC) |
Self-insured: |
Related information on coverage and treatment
L&I has prepared coverage criteria for the use of bone growth stimulators
- Coverage decision: Bone growth stimulators.
Billing and payment policies
Related rules
- Treatment requiring authorization. WAC 296-20-01002.
- Utilization review – Generally. WAC 284-43-410.
