HCPCS E0747: Osteogenesis Stimulator, Electrical, Noninvasive

No. Coverage is not guaranteed. It is subject to the specific requirements of the payer's (e.g., Medicare, private insurance) National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs). The patient's medical records must explicitly meet all the clinical and documentation criteria for coverage.

No. Coverage is typically limited to a nonunion of a long bone fracture that meets strict radiographic and time-lapse criteria. It is generally not covered for fresh fractures, delayed/incomplete unions, or as an adjunct to distraction osteogenesis.

The claim will likely be rejected by Medicare as missing information as the KF modifier is required for Class III devices, and devices coded E0747, E0748 and E0760 are classified by the Food and Drug Administration as Class III devices.