Magnetic resonance-guided high-intensity ultrasound ablation may be considered medically necessary for pain palliation in adults with metastatic bone cancer who have failed or are not candidates for radiotherapy.
Magnetic resonance-guided high-intensity ultrasound ablation may be considered medically necessary for the treatment of medicine-refractory essential tremors.
Magnetic resonance-guided high-intensity ultrasound ablation is considered investigational in all other situations including but not limited to:
Treatment of uterine fibroids;
Treatment of other tumors (eg, brain cancer, prostate cancer, breast cancer, desmoid);
Treatment of medication-refractory tremor dominant Parkinson disease.
