Traditional MedicareCoverageHigh impact
Magnetic Resonance Image Guided High Intensity Focused Ultrasound (MRgFUS) for Tremor
Medicare/CMS - LCD·Neurology, Neurosurgery, Radiology·Local Coverage Determination
We identified it
Aug 7, 2026
Summary
CRITICAL ALERT: This Local Coverage Determination (LCD L37421) for MRgFUS tremor treatment has been RETIRED as of 7/31/2026. This policy is no longer active and should not be used for billing or coverage decisions. Billing teams must immediately cease using this policy as a reference and verify current coverage status with Wellpoint Federal or consult the CMS Medicare Coverage Database for any replacement guidance.
Action Required
IMMEDIATE ACTION REQUIRED: Billing team and providers must immediately remove LCD L37421 from all internal policy references, billing software rules, and clinical guidelines. Do NOT bill MRgFUS procedures for tremor based on this retired policy. Contact Wellpoint Federal (WellPoint Federal MAC - Part A and Part B) immediately to determine: (1) Current coverage status for MRgFUS tremor treatment, (2) Whether a replacement LCD exists, (3) Applicable prior authorization requirements. Update all billing software, encounter templates, and provider bulletins to reflect the retirement. Any claims submitted under this retired policy may be denied or subject to recovery.