0398T — Destruction of tissue of brain using mri guidance
HCPCS/CPT
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Documentation Required
- When a referring or ordering physician is required, the name and National Provider Identifier (NPI) of the referring/ordering physician must be reported on the claim.
- The diagnosis code(s) reported on the claim must best describe the patient's condition for which MRgFUS was performed.
- For diagnostic tests related to the procedure, report the test result if known; if results are not available, report the symptoms that prompted the test.
Key Coverage Criteria
- Magnetic resonance image guided high intensity focused ultrasound (MRgFUS) is covered when billed for treatment of tremor and submitted with a valid ICD-10-CM diagnosis code that best describes the patient's tremor.
1 Active Policy
A59839 — Billing and Coding: Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Tremor
J06
Related Codes
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