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1515 North Saint Joseph Avenue PO Box 8000 Marsh field, WI 544498000 1.800.472.2363 715.221.9555 TTY: 711Infuse Bone GraftPrior Authorization Sequestrate Member information Member name (print)Middle
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How to fill out infuse bone graft

01
Prepare the surgical site: Cleanse the surgical area thoroughly and ensure that it is free from any dirt or debris.
02
Mix the bone graft material: Follow the instructions provided with the specific infuse bone graft product. Generally, the bone graft material is mixed with the provided carrier solution to create a paste-like consistency.
03
Prepare the bone graft site: Ensure that the recipient bone site is properly prepared, which may include removing any damaged or non-viable bone tissue.
04
Apply the bone graft material: Carefully apply the mixed bone graft material to the prepared bone site, ensuring that it covers the desired area.
05
Secure the bone graft: Depending on the specific procedure, the bone graft may need to be secured using screws, plates, or other fixation devices.
06
Close the surgical site: Once the bone graft is securely in place, close the surgical site using appropriate sutures or staples.
07
Follow post-operative care instructions: Monitor the patient's progress and provide appropriate post-operative care instructions, including any medications or physical therapy as needed.

Who needs infuse bone graft?

01
Infuse bone graft is typically used in orthopedic surgeries to promote bone growth and fusion in patients with specific conditions or injuries. It may be recommended for individuals with spinal degenerative disc disease, non-unions or delayed unions of long bone fractures, or other bone defects that require bone grafting for proper healing.
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Infuse bone graft is a medical procedure where bone material is placed into a bony defect or around a surgical implant to promote bone healing and fusion.
Surgeons, healthcare providers, and medical facilities are required to file infuse bone graft documentation.
To fill out infuse bone graft, healthcare providers must accurately document the procedure, patient information, and any complications or adverse events.
The purpose of infuse bone graft is to assist in bone healing and fusion, especially in cases where traditional bone grafting techniques may not be successful.
Information such as the type of procedure, patient demographics, bone graft material used, and any complications or adverse events must be reported on infuse bone graft forms.
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