Guide
Mastering CPT 90867–90869, Modifiers, and Prior Authorization
What's Inside?
Download this guide to learn:
What's Inside?
Download this guide to learn:
As Transcranial Magnetic Stimulation (TMS) continues to expand as a treatment option for patients with treatment-resistant depression, billing has become increasingly complex. Between evolving payer requirements, specialized CPT codes, prior authorization rules, and documentation expectations, even experienced practices can struggle to maximize reimbursement. The guide is organized around these core topics, including billing fundamentals, CPT coding, modifiers, prior authorization, billing best practices, common challenges, and future reimbursement trends.
The Complete Guide to TMS Billing provides a practical framework for understanding the financial side of operating a successful TMS program. You'll learn how CPT codes 90867–90869 are used, when modifiers matter, how to navigate prior authorization requirements, and the operational best practices that help reduce denials while improving revenue cycle performance.
Beyond coding and claims, the guide explores common billing pitfalls, emerging reimbursement trends, and actionable steps your practice can take to strengthen financial performance while supporting patient access to care. Whether you're launching a new TMS program or optimizing an established one, this guide serves as a practical resource for clinical, operational, and billing teams alike.
Ready to optimize your TMS billing process?
