General Guideline Principles for Electrical Bone Growth
Stimulators for workers compensation patients

The New York State workers compensation board has developed these guidelines to help physicians, podiatrists, and other healthcare professionals provide appropriate treatment for Electrical Bone Growth Stimulators.

These Workers Compensation Board guidelines are intended to assist healthcare professionals in making decisions regarding the appropriate level of care for their patients with ankle and foot disorders.

The guidelines are not a substitute for clinical judgement or professional experience. The ultimate decision regarding care must be made by the patient in consultation with his or her healthcare provider.

Electrical Bone Growth Stimulators of of Therapeutic Procedures: Operative

The list of pre-authorized procedures does not contain electrical bone growth stimulators. Providers who wish to carry out one of these operations must first submit a pre-authorization request to the carrier.

1. Electrical Bone Growth Stimulators of of Therapeutic Procedures: Operative-as an adjunct to spinal fusion surgery

   Electrical Bone Growth Stimulators of Therapeutic Procedures: Operative is recommended as an adjunct to spinal fusion surgery for those at high risk for pseudoarthrosis.

   Indications: Include one or more of the following fusion failure risk factors:

    

   1. One or more failed spinal fusion attempts (s)

       

   2. Grade II or worse spondylolisthesis

       

   3. Fusion will be carried out at multiple levels.

       

   4. Existence of additional risk factors that could support non-healing:

       

      • Current smoking

         

      • Diabetes

         

      • Renal disease

         

      • Other metabolic diseases where bone healing is likely to be compromised (e.g.: significant osteoporosis)

         

      • Active alcoholism

         

      • Morbid obesity BMI >40

         

2. Electrical Bone Growth Stimulators of of Therapeutic Procedures: Operative- Failed fusion

   Electrical Bone Growth Stimulators of Therapeutic Procedures are recommended as a course of action for people whose spinal fusion has failed.

   Failed spinal fusion is described as a spinal fusion that has not healed at least six months after the initial surgery, as shown by serial x-rays taken over three months in the second half of the six months.

    

What our office can do if you have workers compensation injuries

We have the experience to help you with their workers compensation injuries. We understand what you are going through and will meet your medical needs and follow the guidelines set by the New York State Workers Compensation Board.

We understand the importance of your workers compensation cases. Let us help you navigate through the maze of dealing with the workers compensation insurance company and your employer.

We understand that this is a stressful time for you and your family. If you would like to schedule an appointment, please contact us so we will do everything we can to make it as easy on you as possible.