Billing and Coding: Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor

Coverage of MRgFUS for essential tremor requires meeting the reasonable and necessary criteria specified in LCD L38495. Billing must not represent non-covered services as covered (use the appropriate modifier for non-covered services), and complete, legible medical records that support the selected ICD-10-CM and CPT/HCPCS codes—including patient identifiers and provider signature—must be maintained and available upon request.

"MRgFUS may be billed for treatment of essential tremor only when reasonable and necessary requirements in LCD L38495 are met."

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