Billing and Coding: Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Tremor

This policy provides billing and coding guidance for MRgFUS for tremor rather than clinical coverage criteria. Key rules: CPT 61715 includes all associated radiological services (do not bill radiology separately), co-surgery is not allowed, and services must be performed in a hospital or hospital outpatient department. Claims must include a valid ICD-10-CM diagnosis and, when applicable, the referring/ordering physician's name and NPI; follow applicable NCCI and OPPS edits prior to billing.

"CPT 61715 is inclusive of all radiological services performed; separate billing for radiological services associated with CPT 61715 is not allowed."

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