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Billing and Coding: Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Tremor
A59839
National Government Services, Inc. (J06)
Updated: December 31, 2025
Policy Summary
This policy provides billing and coding guidance for MRgFUS for tremor: services must be billed with CPT 0398T and a valid ICD-10-CM diagnosis that best describes the tremor. CPT 0398T is inclusive of radiological services (do not bill radiology separately), co-surgery billing is not allowed, and coverage is limited to hospitals or hospital outpatient departments; verify applicable NCCI/OPPS edits and include referring/ordering physician name and NPI when required.
Coverage Criteria Preview
Key requirements from the full policy
"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..."
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