Summary
UnitedHealthcare's Medicare Advantage medical policy bulletin for November 2026 revised the Uterine Services Procedures coverage rationale. The coverage language on MRI-guided focused ultrasound ablation now states that Medicare does not have a National Coverage Determination for that procedure, replacing the prior reference to MRI-guided cryoablation. Billing teams should update any reference materials or coverage notes for uterine ablation services billed to these Medicare Advantage plans.
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What to do
Action · 2 steps
01Already effective 2026-11-01: Billing team should update internal coverage notes or reference sheets for uterine services billed to UnitedHealthcare Medicare Advantage plans so that MRI-guided focused ultrasound ablation is described as lacking a Medicare NCD, not MRI-guided cryoablation.
02Providers and front desk staff should be informed of this wording change when verifying coverage for uterine ablation procedures.
Original notice
Uterine Services Procedures
uhcprovider.com · Always check the source before changing claims.