About CPT Codes for TMS

Current Procedural Terminology (CPT) codes are essential for proper billing and reimbursement of TMS procedures. The codes below are the standard codes for transcranial magnetic stimulation treatment. Proper coding ensures appropriate reimbursement and documentation for your practice.

Coverage and reimbursement vary by payer and plan.

Reviewed July 2026

CPT codes, descriptors, and coding guidance are revised annually. Verify against the current CPT code set and your payer’s policies before billing.

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. See our treatment protocols for session structure.

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.

CPT Code Quick Reference

CodeDescriptionFrequencyRestrictions
90867Initial TMS — cortical mapping, MT determination, delivery & managementOnce per treatment courseCannot report with 90868, 90869, 95860–95870, 95928, 95929, 95939
90868Subsequent TMS — delivery & management, per sessionEach subsequent session—
90869Subsequent TMS — motor threshold re-determination with delivery & managementAs needed (medication changes, treatment gaps, etc.)Cannot report with 90867, 90868, 95860–95870, 95928, 95929, 95939
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