MRI-guided focused ultrasound thermal ablation for Parkinson’s disease tremors
We are preparing to offer a new procedure: focused ultrasound thermal ablation under MRI guidance for essential tremor and tremor dominant Parkinson’s disease. Can you offer some suggestions on the appropriate CPT® codes for this procedure? We are looking at Category lll CPT code 0398T.
It appears you have the right code. Since this is a Category III code, check with the patient’s insurance for coverage before performing. Medicare does reimburse for this procedure but check for a local LCD. Novitas only covers it for essential tremor and only in certain situations.
The code and full description are as follows:
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