Blue Cross Blue Shield of Minnesota Blue Plus Medicaid policy
MRI-Guided High-Intensity Focused Ultrasound Ablation and MRI-Guided High-Intensity Directional Ultrasound Ablation
MRI-Guided High-Intensity Focused Ultrasound Ablation and MRI-Guided High-Intensity Directional Ultrasound Ablation is a public Blue Cross Blue Shield of Minnesota Blue Plus Medicaid policy (policy IV-119, effective May 4, 2026). It lists 7 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
- Policy number
- IV-119
- Effective
- May 4, 2026
- Line of business
- Commercial, Medicaid
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Blue Cross Blue Shield of Minnesota Blue Plus Medicaid policies |
|---|---|
| 0071T | Policies naming 0071T |
| 0072T | Policies naming 0072T |
| 51721 | Policies naming 51721 |
| 55881 | Policies naming 55881 |
| 55882 | Policies naming 55882 |
| 61715 | Policies naming 61715 |
| C9734 | Policies naming C9734 |
All Blue Cross Blue Shield of Minnesota Blue Plus Medicaid policies