CPT Code 90867: Transcranial magnetic stimulation, initial course

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

Got one of these on a remittance? Decode the denial code.

Reimbursement Expectations

OON reimbursement varies widely; expect 40-60% of UCR. Typical range $80-$300 per session.