Ifactor member4/16/2023 Mesenchymal Stem Cell Therapy/Bone Marrow Aspirate/Progenitor CellsĪetna considers the use of mesenchymal stem cell therapy (e.g., AlloStem, Osteocel, Osteocel Plus, Ovation, Regenexx, and Trinity Evolution) and/or the use of progenitor cells experimental and investigational for all orthopedic applications including repair or regeneration of musculoskeletal tissue, osteochondritis dissecans, spinal fusion, and bone nonunions because there is insufficient evidence to support its use for these indications, especially its safety and long-term outcomes.Īetna considers bone marrow injections medically necessary in the treatment of bone cysts (unicameral/simple).Polymethylmethacrylate (PMMA) or Calcium Sulfate (e.g., Osteoset Resorbable Mini-Bead) Antibiotic BeadsĪetna considers PMMA antibiotic beads or calcium sulfate antibiotic beads (e.g., Osteoset Resorbable Mini-Bead) medically necessary for use in conjunction with intravenous antibiotics in the treatment of chronic osteomyelitis.Allograft materials that are 100% bone are considered medically necessary for these indications regardless of the shape of the implant.
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