Are you interested in Focused Ultrasound treatment and want to know about insurance coverage? Below we have answered the most frequently asked questions from our patient and caregiver community. If you don’t see your question here, click the button below to submit a question.
My healthcare provider would like the five-character CPT code for the Focused Ultrasound procedure. What is it?
The current CPT code for MRgFUS is 0398T; Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation lesion, intracranial for movement disorder including stereotactic navigation and frame placement when performed. We are providing this code for general information purposes only; each provider is responsible for its own coding and billing activities.
What is the cost of the procedure if it’s not covered by my insurance?View list of Treatment Centers
The cost for cash paying patients is set by the treatment center. For a complete list of treatment centers and their contact information, click on the link below.
In which states is there Medicare Coverage for Focused Ultrasound treatment for Essential Tremor?Read More
MR-guided focused ultrasound treatment for medication-refractory Essential Tremor is a Medicare covered benefit in all 50 states.
Is Focused Ultrasound covered under Medicare Part A, Medicare Part B, or a supplemental Medicare plan?Read More
Magnetic Resonance guided Focused Ultrasound (MRgFUS), for the treatment of essential tremor is covered under Medicare Part B.
Private Health Insurance
How do I know if my private health insurance plan covers the treatment?
Contact your health plan’s Member Service department by calling the phone number listed on the back of your insurance ID card. Ask whether or not MR-guided Focused Ultrasound for treating essential tremor (CPT code 0398T) is a covered benefit in an outpatient setting based on your health plan.
Do private health insurance plans cover the treatment?Read More
Aetna’s coverage of focused ultrasound treatment of essential tremor (ET) that does not respond to medications applies across the country. Also, a total of 39 Independent Blue Cross Blue Shield Association plans have adopted the National Medical Policy for coverage of MR-guided focused ultrasound to treat medication-refractory Essential Tremor.
Can I travel to other states to receive treatment if my state is not covered by Blue Cross Blue Shield?
It is our understanding that under the Blue Card Network, patients traveling outside of their home state for treatment at a facility providing MRgFUS would be subject to their home plan coverage decision. We recommend confirming coverage with your health plan and the treatment center prior to treatment.