Billing and Coding: Transcranial Magnetic Stimulation (TMS) in the Treatment of Adults with Major Depressive Disorder

This billing and coding guidance implements LCD L34998 requirements for TMS in adults with Major Depressive Disorder, requiring claims to include the ordering provider name and NPI in specified claim fields. CPT 90867 is limited to a single initial-planning report per episode and must not be reported with 90868 or 90869; medical records must be legible, signed, support the ICD-10 and CPT codes used, document face-to-face assessment, and record evaluation of contraindications.

"Transcranial Magnetic Stimulation (TMS) is covered for the treatment of adults with Major Depressive Disorder per LCD L34998."

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