About CPT Codes for TMS

Current Procedural Terminology (CPT) codes are essential for proper billing and reimbursement of TMS procedures. The codes below are specific to transcranial magnetic stimulation treatments and are recognized by most insurance providers. Proper coding ensures appropriate reimbursement and documentation for your practice.

TMS-Specific CPT Codes

CPT Code 90867

Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management.

Reporting Frequency

Should be reported only once in a treatment course

Coding Restrictions

Should not be reported with CPT Codes 90868, 90869, 95860-95870, 95928, 95929, 95939

Billing Tip

This code represents the initial session of a TMS treatment course and includes all initial assessments, cortical mapping, and the first treatment delivery.

CPT Code 90868

Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; subsequent delivery and management, per session.

Reporting Frequency

Can be reported for each subsequent treatment session after the initial assessment

Billing Tip

This code is used for standard follow-up TMS sessions that do not require motor threshold re-determination. Most sessions in a treatment course will use this code.

CPT Code 90869

Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; subsequent motor threshold re-determination with delivery and management.

Coding Restrictions

Should not be reported with CPT Codes 90867, 90868, 95860-95870, 95928, 95929, 95939

Billing Tip

Use this code when a re-assessment of motor threshold is required during a treatment course. This typically occurs if there are changes in medication, treatment response, or after a significant gap in treatment.