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CPT 90868

CPT Code 90868: Transcranial magnetic stimulation, subsequent delivery

Duration
Session
Typical Fee
$150-$400
Type
Outpatient therapy

When to Use CPT 90868

Use CPT code 90868 when billing for transcranial magnetic stimulation, subsequent delivery. This code is used by licensed therapists (LCSW, LPC, MFT, Psychologist) for outpatient sessions.

Adding CPT 90868 to a Superbill

When generating a superbill with CPT 90868, 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 90868:

Documentation Requirements

Document treatment delivery parameters and patient response. Note any adverse effects or parameter adjustments from previous sessions.

Common Denial Reasons

  • Course exceeds payer-approved number of sessions
  • Missing ongoing documentation of patient response to treatment
  • Prior authorization lapsed or not renewed

Reimbursement Expectations

OON reimbursement typically 40-60% of UCR. Expect $60-$240 per subsequent session.

Related Guides

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