CPT code 90867: TMS treatment, initial mapping and treatment2026 Medicare rate & RVUs

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 90867 covers

Code 90867 identifies the initial therapeutic repetitive transcranial magnetic stimulation (TMS) session. The clinician maps a treatment target on the cerebral cortex, determines the motor threshold used to set stimulation intensity, and establishes the treatment plan as part of the initial treatment service. Psychiatrists and other clinicians providing TMS commonly report it in outpatient psychiatric care, often for major depressive disorder.

Under physician fee schedule status C, CMS publishes no national payment; the Medicare Administrative Contractor sets payment for each claim. The 0-day global period includes same-day preoperative and postoperative care. Modifier 50 is inappropriate; assistant-at-surgery payment is barred, and co-surgeon and team-surgery billing are not permitted. Use 90868 for later treatment delivery and 90869 when motor threshold is re-determined during a subsequent treatment.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 90867 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

90867 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 90867 rate is calculated

Each of 90867’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 90867

The CMS indicators that decide how 90867 is paid alongside other services.

90867 compared with similar codes

How to choose

90868TMS treatmentPer session

90867 is the initial TMS service with mapping and motor-threshold determination; 90868 is for subsequent treatment delivery.

90869TMS RedeterminationMotor Threshold

90869 applies to a later TMS treatment that includes motor-threshold redetermination, rather than the initial mapping and treatment service.

90870Electroconvulsive therapy

90870 reports electroconvulsive therapy, which uses a different treatment method. It is not a TMS session.

Codes related to 90867

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates