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

This billing/coding guidance covers Transcranial Magnetic Stimulation (TMS) for adults with Major Depressive Disorder per LCD L34522; CPT 90867 is allowed once per episode as the initial planning service. Claims must include the ordering provider name and NPI in specified claim fields, medical records must be complete and legible with provider signatures, face-to-face initial assessment documentation, and evidence of evaluation of contraindications; CPT 90867 must not be billed with CPT 90868 or 90869 and must not be reported more than once within 6 weeks.

"Transcranial Magnetic Stimulation (TMS) is covered for the treatment of adults (age >=18) with Major Depressive Disorder in accordance with LCD L34522 reasonable and necessary requirements."

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