OL1000 Insurance Criteria

Criteria

  • Nonunion of a long bone fracture defined as radiographic evidence that fracture healing has ceased for 3 or more months prior to starting treatment*
  • Failed fusion of a joint other than in the spine where a minimum of 3-9 months has elapsed since the last surgery*
  • Congenital pseudarthrosis*

Order Processing Requirements

(Guidelines may vary by insurance)

  • Valid Prescription*
  • Patient demographics
  • Medical records: initial note and most recent note
    • Fracture gap information
  • Op report (if applicable)

*Requirements/criteria per Medicare. Consult your local rep for criteria for PPO plans.