GentleCure is a name used in marketing image-guided superficial radiation treatment for certain nonmelanoma skin cancers. Medicare evaluates the actual services and clinical circumstances, not the marketing name. Coverage for radiation does not necessarily include every imaging component in a treatment package.
Superficial radiation has clinical limits
CMS-published local policy L40176, effective March 1, 2026, allows limited superficial radiation treatment for specified basal cell and squamous cell cancers when the patient is a nonsurgical candidate and all criteria are met. The record must explain the diagnosis and suitability for this approach.
The policy includes documented refusal of surgery after shared decision-making among examples of nonsurgical candidacy. It also contains restrictions involving tumor size, depth, aggressive features, previous irradiation and other clinical factors. It does not make superficial radiation a covered first-line option for every surgical candidate.
Imaging and treatment are different coverage questions
That local policy does not consider high-resolution ultrasound guidance for this treatment, or electronic brachytherapy for these skin cancers, reasonable and necessary. Ask the center which contractor policy applies and whether the proposed package includes separately noncovered components.
Review the treatment estimate
| Item | What to confirm |
|---|---|
| Pathology and treatment plan | The cancer type and documented clinical criteria. |
| Radiation sessions | The course, billing and expected cost sharing. |
| Ultrasound guidance | Whether it is payable or a separate private expense. |
| Plan network | Participation and authorization for Medicare Advantage. |
Keep clinical decisions with the specialist
Ask the treating team to explain alternatives, risks and follow-up. This article does not compare cure rates, promise painless treatment or recommend replacing surgery. Obtain the policy explanation and itemized estimate in writing, and review appeal instructions if an insurer denies a claim.
Related coverage questions
- Medicare coverage for Mohs surgery: eligibility, bills and follow-up
- Does Medicare cover skin cancer screening and dermatology exams?
- A Medicare Medical Claim Was Denied: What to Do Next