CPT 90867
CPT Code 90867: Transcranial magnetic stimulation, initial course
Duration
Session
Typical Fee
$200-$500
Type
Outpatient therapy
Note: TMS for depression.
When to Use CPT 90867
Use CPT code 90867 when billing for transcranial magnetic stimulation, initial course. This code is used by licensed therapists (LCSW, LPC, MFT, Psychologist) for outpatient sessions.
Adding CPT 90867 to a Superbill
When generating a superbill with CPT 90867, include the ICD-10 diagnosis code, date of service, fee charged, amount paid, and your NPI number. Superbilled pre-fills common therapy CPT codes automatically.
Common ICD-10 Pairings
These diagnosis codes are frequently used alongside CPT 90867:
Documentation Requirements
Document the treatment-resistant depression history, motor threshold determination, and treatment parameters. Include prior medication trial failures.
Common Denial Reasons
- ✗ Insufficient documentation of treatment-resistant depression or prior medication failures
- ✗ Prior authorization not obtained
- ✗ Missing motor threshold determination or treatment protocol documentation
Reimbursement Expectations
OON reimbursement varies widely; expect 40-60% of UCR. Typical range $80-$300 per session.