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0398T Focused Ultrasound

Date: Aug 31, 2022

Question:

Our hospital is looking to start performing FUS for treatment of tremors/Parkinson's disease, and we are trying to figure out logistics for the coding/billing.

Who would code for the FUS if:

  • Neurosurgery puts the cage on patient's head
  • Neuroradiology provides MRI guidance/reads the MRI location
  • Neurology performs the focused ultrasound?

I assume the guidance is included in 0398T? So the neuroradiologist wouldn't get to bill anything? Would this be considered an assistant modifier -82?

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