Name of the Procedure:

Osteogenesis Stimulator, Electrical, Non-Invasive, Other Than Spinal Applications (HCPCS E0747)

Summary

An osteogenesis stimulator is a medical device used to promote bone growth in cases where healing is delayed or bone formation is insufficient. This non-invasive procedure employs electrical stimulation to aid in the healing process of fractures and bone-related issues, excluding spinal applications.

Purpose

The primary purpose of this procedure is to enhance the healing process of bones. It is typically used for:

• Non-union fractures
• Delayed union fractures
• Bone conditions resulting from disease or injury where bone growth is deficient

The goal is to stimulate bone regeneration, reduce healing time, and improve the overall outcome of bone-related conditions.

Indications

• Non-union or delayed union of fractures
• Osteoporosis-related fractures
• Bone growth deficiencies due to conditions such as diabetes or age-related changes
• Certain congenital bone growth disorders

Preparation

• No fasting required for the procedure.
• Patients should inform their healthcare provider about any medications they are taking.
• Diagnostic imaging, like X-rays or MRI, may be needed to assess the bone condition before starting treatment.

Procedure Description

1. The device is placed externally over the site of the bone injury or defect.
2. Electrical impulses are generated by the device to stimulate the biological processes involved in bone healing.
3. The patient typically wears the device for a specified number of hours each day, as recommended by their healthcare provider.
4. This process is repeated daily over a period of weeks or months, depending on the severity of the bone condition.

Tools used: Non-invasive electrical stimulator, adjustable straps or pads to secure the device. Anesthesia: Not applicable since the procedure is non-invasive and painless.

Duration

Each session typically lasts for 30 minutes to a few hours, depending on the individual treatment plan. The entire course of treatment may extend over several weeks or months.

Setting

The procedure is usually performed at home, following the instructions provided by a healthcare provider.

Personnel

A healthcare provider, such as a physician or orthopedic specialist, will prescribe and oversee the treatment. Instructions are typically given by a nurse or medical technician.

Risks and Complications

• Minimal risks, such as skin irritation at the site of device placement.
• Rare complications could include interference with other medical devices or treatments.

Benefits

• Accelerated bone healing
• Reduced need for invasive procedures like surgery
• Can be used conveniently at home

Recovery

• Patients can usually resume normal activities immediately.
• Continued use of the device as prescribed is crucial for optimal results.
• Follow-up appointments with the healthcare provider to monitor progress are important.

Alternatives

• Surgical intervention (e.g., bone grafting or internal fixation)
• Physical therapy to support bone healing and strength
• Medication to enhance bone density and growth

Pros of osteogenesis stimulator:

• Non-invasive
• Minimal side effects
• Convenience of at-home use

Cons of alternatives:

• Potentially longer recovery time
• Higher risk of complications
• More invasive nature

Patient Experience

• Patients typically do not feel any sensation during the use of the device.
• Minimal discomfort associated with wearing the device.
• Pain management is usually not required.
• Adherence to daily use is key to the effectiveness of the treatment.