Traditional MedicareCoverageHigh impact
Magnetic Resonance Guided Focused Ultrasound Surgery System (MRgFUS) for the treatment of neurologic conditions
Medicare/CMS - LCD·Neurology, Neurosurgery, Radiology·Local Coverage Determination
Effective date
Sep 4, 2025
We identified it
Aug 7, 2026
Summary
This policy (L37790) for Magnetic Resonance Guided Focused Ultrasound Surgery (MRgFUS) for neurologic conditions has been RETIRED effective 7/31/2026. The policy is no longer active and should not be used for billing or coverage determinations. Billing teams must immediately stop referencing this policy and confirm current coverage guidance with CGS Administrators, LLC.
Action Required
IMMEDIATE ACTION REQUIRED: By September 4, 2025, billing team must: (1) Remove all references to LCD L37790 from billing systems, templates, and decision trees; (2) Contact CGS Administrators, LLC (Part A and Part B MAC) to obtain current/replacement coverage guidance for MRgFUS procedures for neurologic conditions; (3) Audit any pending or recently submitted claims for MRgFUS procedures and resubmit with updated coverage determination if applicable; (4) Update provider education materials to reflect that L37790 is no longer valid. Without updated guidance, claims for MRgFUS neurologic procedures may be denied as not medically necessary or lacking current coverage determination.