Medica policy
High Intensity Focused Ultrasound (HIFU) and Magnetic Resonance Guided Focused Ultrasound (MRgFUS)
High Intensity Focused Ultrasound (HIFU) and Magnetic Resonance Guided Focused Ultrasound (MRgFUS) is a public Medica policy (effective Jun 1, 2026). It lists 10 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Payer
- Medica
- Effective
- Jun 1, 2026
- Line of business
- Commercial, Medicaid
- Source
- partner.medica.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Medica policies |
|---|---|
| 0071T | Policies naming 0071T |
| 0072T | Policies naming 0072T |
| 0389T | Policies naming 0389T |
| 0947T | Policies naming 0947T |
| 55880 | Policies naming 55880 |
| 55899 | Policies naming 55899 |
| 58999 | Policies naming 58999 |
| 61715 | Policies naming 61715 |
| 76999 | Policies naming 76999 |
| C9734 | Policies naming C9734 |