Billing and Coding: Magnetic Resonance Guided Focused Ultrasound Surgery System (MRgFUS) for the treatment of neurologic conditions

This policy provides billing and coding guidance for MRgFUS (CPT 0398T) used to treat neurologic conditions and defers clinical coverage specifics to the applicable LCD. Key requirements: CPT 0398T includes all radiological services (do not bill radiology separately), co-surgery is not allowed, services must be performed in a hospital or hospital outpatient department, and claims must include a valid ICD-10-CM diagnosis and, when required, the referring/ordering physician’s name and NPI; confirm NCCI/OPPS edits before billing.

"Magnetic Resonance Guided Focused Ultrasound Surgery (MRgFUS; CPT 0398T) may be furnished for treatment of neurologic conditions when medically indicated per the applicable Local Coverage Determina..."

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