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

This billing and coding article provides guidance for billing MRgFUS for essential tremor and directs providers to Local Coverage Determination L38506 for clinical reasonable-and-necessary coverage criteria. It instructs that non-covered services must not be billed as covered (and should include the appropriate modifier if billed) and specifies detailed documentation requirements including legibility, patient identification, provider signature, and documentation supporting selected ICD-10-CM and CPT/HCPCS codes.

"It is not appropriate to bill Medicare for services that are not covered by the LCD L38506 as if they are covered."

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