Repetitive Transcranial Magnetic Stimulation (rTMS) in Adults

Outpatient rTMS is covered for adults (>=18) with DSM-5 defined severe Major Depressive Disorder or OCD who have failed or cannot tolerate adequate trials of psychopharmacologic agents and have not improved after evidence-based psychotherapy, with treatment ordered and supervised by an experienced psychiatrist. Contraindications include seizure disorders, active psychotic disorders in the current episode, certain neurological conditions, and implanted magnetic-sensitive devices within 30 cm of the coil; all other uses are experimental and not covered.

"Adult (age >=18) with a confirmed DSM-5 diagnosis of severe Major Depressive Disorder (single or recurrent) is a candidate for left prefrontal rTMS when other coverage criteria are met."

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